Kiavash Ebadat, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

125966 Issued in CA

Practice address

3001 E Tahquitz Canyon Way
Palm Springs, CA 92262-6982

Phone

(408) 799-7893

NPI assigned

May 25, 2021

Last updated

May 25, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Kce Family Therapy Counseling Prof Inc.

  dba Resilience Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palm Desert, CA
  • NPI 1073248597
  NPD Authorized official

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1659946275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39485 REGENCY WAY",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922117109",
            "telephone_number": "408-799-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E TAHQUITZ CANYON WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626982",
            "telephone_number": "408-799-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBADAT",
        "first_name": "KIAVASH",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "125966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@hopeandhealingcs.com",
            "affiliation": "N",
            "address_1": "3001 E Tahquitz Canyon Way",
            "city": "Palm Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922626982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dva Renal Healthcare Inc (Palm Springs Dialysis)
• Laura Skatvold Dyson Jr., REGISTERED NURSE
• Ea Health Physicians Medical Group, Inc.
• Matthew Alan Easterbrook Sr., BA
• William James Eaton III, MPAS, PA-C
• Maddison Elizabeth Eberts
• Eckman & Rach Occupational Therapy, Corporation (Hand Center Palm Springs)
• Element E Eclipse
• Edelburg Chiropractic Inc.
• Robert Wayne Edelburg, D.C.

• Mental Health Counselor in Palm Springs, CA
• Providers in Palm Springs, 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 May 25, 2021; 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.