Active NPI
Jasmine Samantha Ebach
- Marriage & Family Therapist
- Salinas, CA
National Provider Identifier
1295993228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT89393
- Practice address
- 1270 Natividad Rd
Salinas, CA 93906-3122 - Phone
- (831) 755-4510
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | LMFT89393 | CA | Primary |
Addresses
Primary practice location
1270 Natividad Rd
Salinas, CA 93906-3122
Mailing address
3254 Sandpiper Way
Marina, CA 93933-2227
Phone (831) 521-5565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27BW8 | Other | CA | MEDI-CAL PRV NBR |
| 44CF | Other | CA | MEDI-CAL PRV NBR |
Other names 1
- Jasmine Samantha Adragna
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT89393 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1295993228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3254 SANDPIPER WAY",
"city": "MARINA",
"state": "CA",
"postal_code": "939332227",
"telephone_number": "831-521-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 NATIVIDAD RD",
"city": "SALINAS",
"state": "CA",
"postal_code": "939063122",
"telephone_number": "831-755-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBACH",
"first_name": "JASMINE",
"middle_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT89393",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PRV NBR",
"identifier": "27BW8",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PRV NBR",
"identifier": "44CF",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JASMINE",
"last_name": "ADRAGNA",
"middle_name": "SAMANTHA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.