Shana Ebanks-Butler, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

102284 Issued in CA

Practice address

4361 Latham St Ste 200
Riverside, CA 92501-1778

Phone

(858) 279-1223

NPI assigned

Dec 8, 2008

Last updated

Jul 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shana L Ebanks-Butler Other name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Pacific Coast Psychiatric Associates Inc

  dba Lifestance Health

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1023125465

  CA

  Medicare reassignment Care Compare group NPD
• Marsell Wellness Center

  • Mental Health Counselor
  • Ontario, CA
  • NPI 1700597036
  Medicare reassignment
• Step Up on Second Street Inc.

  dba Step Up on Second-San Bernardino

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1285186353
  NPD (past)

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1336384163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 LATHAM ST STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 LATHAM ST STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011778",
            "telephone_number": "858-279-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Arrowhead Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011164",
            "country_code": "US",
            "telephone_number": "909-963-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBANKS-BUTLER",
        "first_name": "SHANA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "102284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "EBANKS-BUTLER",
            "middle_name": "L",
            "credential": "SHANA  BUTLER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wyatt Earp
• Andrea Eastman, BACHELORS DEGREE
• Mark F. Eastman, MD
• Eastwest Homecare Riverside Inc (Interim Healthcare Riverside)
• Douglas Ow Eaton, MD
• Carter B Ebbesen, LMFT, MS
• Mariellen Ebie, O.D.
• Anna Ebina, AMFT, CADC II
• Ebonie Reed, LMFT, a Licensed Marriage and Family Therapy Corpor (Peaceful Mind Counseling Center)
• Thomas Eldon Eby, PH.D.

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.