Individual provider Active NPI

Colin Thomas Ebeling, LMFT

  • Marriage & Family Therapist
  • Burbank, CA
National Provider Identifier
1285465823
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT164769 Issued in CA
Practice address
3601 W Magnolia Blvd Unit 4
Burbank, CA 91505-2914
Phone
(818) 714-1542
NPI assigned
Aug 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT164769 CA Primary

Addresses

Primary practice location

3601 W Magnolia Blvd Unit 4
Burbank, CA 91505-2914

Mailing address

3601 W Magnolia Blvd Unit 4
Burbank, CA 91505-2914
Phone (818) 714-1542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT146939CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hollywood Marriage & Family Counseling Professional Corporation Marriage & Family Therapist Current Accepting new patients

Locations

3601 W Magnolia Blvd
Unit 4
Burbank, CA 91505

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1285465823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W MAGNOLIA BLVD UNIT 4",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052914",
            "telephone_number": "818-714-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W MAGNOLIA BLVD UNIT 4",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052914",
            "telephone_number": "818-714-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBELING",
        "first_name": "COLIN",
        "middle_name": "THOMAS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT164769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.