Active NPI
Ebonee Alyssa Simmons, MFT
- Marriage & Family Therapist
- El Cajon, CA
National Provider Identifier
1306298179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 156039
- Practice address
- 1664 Broadway
El Cajon, CA 92021-5201 - Phone
- (619) 579-8685
- NPI assigned
- Jul 5, 2016
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | 124505 | CA | |
| Marriage & Family Therapist | 106H00000X | 142972 | CA | |
| Marriage & Family Therapist | 106H00000X | 156039 | CA | Primary |
Addresses
Primary practice location
1664 Broadway
El Cajon, CA 92021-5201
Mailing address
1664 Broadway
El Cajon, CA 92021-5201
Other practice location 1
409 Camino Del Rio S Ste 201
San Diego, CA 92108-3505
Phone (619) 381-7748
Other practice location 2
2130 National Ave
San Diego, CA 92113-2209
Phone (619) 515-2338
Other practice location 3
8755 Aero Dr Ste 230
San Diego, CA 92123-1750
Phone (858) 256-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3737810 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124505 | CA | MD | Social Worker |
| 142972 | CA | MD | Marriage & Family Therapist |
| 156039 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc. | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| New Alternatives, Incorporated | Past | Accepting new patients |
Locations
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Ambulatory Surgical Clinic/Center
- San Diego, CA
- NPI 1326231713
-
- Adolescent and Children Mental Health Clinic/Center
- San Diego, CA
- NPI 1023221470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1306298179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 BROADWAY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920215201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 BROADWAY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920215201",
"telephone_number": "619-579-8685"
}
],
"practiceLocations": [
{
"address_1": "409 Camino Del Rio S Ste 201",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921083505",
"country_code": "US",
"telephone_number": "619-381-7748",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2130 National Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921132209",
"country_code": "US",
"telephone_number": "619-515-2338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8755 Aero Dr Ste 230",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231750",
"country_code": "US",
"telephone_number": "858-256-2180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "EBONEE",
"middle_name": "ALYSSA",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-05",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "124505",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "142972",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "156039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3737810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.