Carter B Ebbesen, LMFT, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

113396 Issued in CA

Practice address

19330 Jesse LN # 280
Riverside, CA 92508-5091

Phone

(951) 387-4040

Fax

(951) 398-3144

NPI assigned

May 31, 2019

Sex

Male

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

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, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Family Talk Therapy Center

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1174089411
  Medicare reassignment NPD

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1457919862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19330 JESSE LN # 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085091",
            "telephone_number": "951-387-4040",
            "fax_number": "951-398-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19330 JESSE LN # 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085091",
            "telephone_number": "951-387-4040",
            "fax_number": "951-398-3144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25020 Las Brisas Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925624064",
            "country_code": "US",
            "telephone_number": "951-387-4040",
            "fax_number": "951-398-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBBESEN",
        "first_name": "CARTER",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LMFT, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Eastman, BACHELORS DEGREE
• Mark F. Eastman, MD
• Eastwest Homecare Riverside Inc
• Douglas Ow Eaton, MD
• Shana Ebanks-Butler, LMFT
• Mariellen Ebie, O.D.
• Anna Ebina, AMFT, CADC II
• Ebonie Reed, LMFT, a Licensed Marriage and Family Therapy Corporation
• Thomas Eldon Eby, PH.D.
• Leslie Shirley Echegoyen Soto

• 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 May 31, 2019; 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.