Organization Active NPI

Bobbi Ebsen Psychotherapy LLC

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1689012379
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085914 Issued in MI
Legal business name
BOBBI EBSEN PSYCHOTHERAPY LLC
Practice address
2501 Rio Grande Blvd NW Ste a
Albuquerque, NM 87104-3233
Phone
(510) 391-4099
Fax
(510) 328-7386
NPI assigned
Jun 5, 2013
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Kristi Ebsen, LMSW, LCSWNPI 1558545954
Title
Owner/Psychotherapist
Phone
(510) 391-4099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801085914 MI Primary

Addresses

Primary practice location

2501 Rio Grande Blvd NW Ste a
Albuquerque, NM 87104-3233

Mailing address

2501 Rio Grande Blvd NW Ste a
Albuquerque, NM 87104-3233
Phone (510) 391-4099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250916003249 NM Part B Supplier - Clinic/Group Practice 8527207414 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

3785 Via Nona Marie
Ste 108
Carmel, CA 93923

220 Oak Meadow Dr
Ste A
Los Gatos, CA 95032
Phone (408) 892-9760

2035 Hogback Rd
Ste 202
Ann Arbor, MI 48105
Phone (734) 223-6014

2311 Shelby Ave
Ste 105D
Ann Arbor, MI 48103
Phone (734) 585-5432

31600 Telegraph Rd
Ste 250
Bingham Farms, MI 48025
Phone (248) 320-6177

33304 Grand River Ave
Farmington, MI 48336

43155 Main St
Ste 2210A
Novi, MI 48375
Phone (734) 223-6014

5901 Wyoming Blvd NE
Ste J
Albuquerque, NM 87109
Phone (505) 280-6707

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1689012379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 RIO GRANDE BLVD NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871043233",
            "telephone_number": "510-391-4099",
            "fax_number": "510-328-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 RIO GRANDE BLVD NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871043233",
            "telephone_number": "510-391-4099",
            "fax_number": "510-328-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBI EBSEN PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "EBSEN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "510-391-4099",
        "authorized_official_credential": "LMSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.