Emodish M Abebe

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

105579 Issued in CA

Practice address

500 T St
Sacramento, CA 95811-6941

Phone

(408) 761-6519

NPI assigned

Apr 28, 2023

Last updated

Apr 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1417645169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 ABLE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351357",
            "telephone_number": "408-761-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 T ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958116941",
            "telephone_number": "408-761-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEBE",
        "first_name": "EMODISH",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "105579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zainab Mohammed Abdulsada, MBCHB
• Tunde Abdulsalam, MD
• Sana Abdussamed
• Donyale Abe, ICCE-CD, IAT-CE
• Takeshi Abe, MFT
• Amnah Bilal Abed
• Iman Abed
• Tesneem Abed, SLP
• Mehrad Abedi, M.D.
• Maryam Abedrabbo, OD

• Mental Health Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.