Individual provider Active NPI

Amanda Ebersberger, MA

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1659164366
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
154174 Issued in CA
Practice address
3709 Watseka Ave Apt 312
Los Angeles, CA 90034-4061
Phone
(661) 714-5209
NPI assigned
May 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18985 CA
Marriage & Family Therapist 106H00000X 154174 CA Primary

Addresses

Primary practice location

3709 Watseka Ave Apt 312
Los Angeles, CA 90034-4061

Mailing address

3709 Watseka Ave Apt 312
Los Angeles, CA 90034-4061
Phone (661) 714-5209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
154174CAMDMarriage & Family Therapist
18985CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1659164366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 WATSEKA AVE APT 312",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344061",
            "telephone_number": "661-714-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 WATSEKA AVE APT 312",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344061",
            "telephone_number": "661-714-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERSBERGER",
        "first_name": "AMANDA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "18985",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.