Individual provider Active NPI

Ebonie Reed, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1821250481
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT81228 Issued in CA
Practice address
5055 Canyon Crest Dr
Riverside, CA 92507-6015
Phone
(951) 775-5811
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT81228 CA Primary

Addresses

Primary practice location

5055 Canyon Crest Dr
Riverside, CA 92507-6015

Mailing address

15412 Park Point Ave Unit 104
Lake Elsinore, CA 92532-0450
Phone (951) 775-5811

Other practice location 1

4892 San Pablo Dam Rd
El Sobrante, CA 94803-3222
Phone (510) 222-3946

Other practice location 2

1560 E Main St
Ventura, CA 93001-3310
Phone (805) 746-1807

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

State licenses

LicenseStateTypeSpecialty
LMFT81228CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ebonie Reed, LMFT, a Licensed Marriage and Family Therapy Corporation Mental Health CurrentSince Jun 30, 2024 Accepting new patients
Sierra Counseling Psychotherapy, Inc. Past Accepting new patients
Community Access Network Non Profit Corporation Past Accepting new patients

Locations

5055 Canyon Crest Dr
Riverside, CA 92507
Phone (951) 682-0739

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1821250481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15412 PARK POINT AVE UNIT 104",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320450",
            "telephone_number": "951-775-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 CANYON CREST DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076015",
            "telephone_number": "951-775-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4892 San Pablo Dam Rd",
            "address_purpose": "LOCATION",
            "city": "El Sobrante",
            "state": "CA",
            "postal_code": "948033222",
            "country_code": "US",
            "telephone_number": "510-222-3946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 E Main St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930013310",
            "country_code": "US",
            "telephone_number": "805-746-1807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "EBONIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT81228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.