Lizette Manyi Ebot, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1034060 Issued in TX

Practice address

4245 Kemp Blvd Ste 706
Wichita Falls, TX 76308-2828

Phone

(940) 235-6491

Fax

(940) 308-6311

NPI assigned

Apr 27, 2021

Last updated

Oct 8, 2026By 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 6

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adam S Butera MD PAGroup PAC ID 6507961000, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4

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.

• Adam S. Butera MD PA

  • Psychiatry Physician
  • Wichita Falls, TX
  • NPI 1992865992
  Medicare reassignment Care Compare group NPD
• Liz Mindset Telepsyciatric Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita Falls, TX
  • NPI 1477406999
  Medicare reassignment NPD Authorized official
• Mellow Medical Inc a Professional Corporation

  • Psychiatry Physician
  • West Hollywood, CA
  • NPI 1407275886
  Medicare reassignment NPD

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1508448739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 HEISMAN DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102838",
            "telephone_number": "940-235-6491",
            "fax_number": "940-308-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 KEMP BLVD STE 706",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082828",
            "telephone_number": "940-235-6491",
            "fax_number": "940-308-6311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5663 E Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937276431",
            "country_code": "US",
            "telephone_number": "940-235-6491",
            "fax_number": "940-308-6311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4810 Heisman Dr",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763102838",
            "country_code": "US",
            "telephone_number": "940-235-6491",
            "fax_number": "940-386-9677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10118 W 86th Ter",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662124659",
            "country_code": "US",
            "telephone_number": "940-235-6491",
            "fax_number": "940-308-6311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBOT",
        "first_name": "LIZETTE",
        "middle_name": "MANYI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "408469",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "263534",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019816",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-85447-052",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1034060",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "204748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William T East, LPC
• Margaret Gieb Easter X
• Heidi Jo Eastridge
• Elizabeth Indah Barika Eb Nchenge
• Juliann Ebelherr
• Ellaheh Ebrahim, M.D.
• James Brian Eby, LPC, LMFT, LSW, NCC
• Richard Edward Eckert, PHD
• Ernest Wayne Edmonds, PA-C
• Educare Community Living Limited Partnership

• Psychiatric/Mental Health Nurse Practitioner in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.