Caitlin Eubanks, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

81509 Issued in CA

Practice address

7171 Alvarado Rd Ste 100a
La Mesa, CA 91942

Phone

(619) 562-2130

NPI assigned

Mar 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Family Therapy Institute

  • Community/Behavioral Health Agency
  • La Mesa, CA
  • NPI 1447477971
  NPD (past)

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1881835296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 ALVARADO RD STE 100A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919428996",
            "telephone_number": "619-562-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 ALVARADO RD STE 100A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-562-2130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 Vine St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900381612",
            "country_code": "US",
            "telephone_number": "323-769-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "CAITLIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "81509",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "67147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerson Derek Esteban, BSN RN
• Georgiana Estrada
• Leticia Estrella
• Samuel O Etchie, M.D.
• Michelle Etherington, LVN
• Keane Evangelista
• Richard B Evans, D.D.S.
• Evolve Growth Initiatives LLC
• Evolve Growth Initiatives LLC
• Evolve Rehab & Performance

• Mental Health Counselor in La Mesa, CA
• Providers in La Mesa, 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 Jun 28, 2018; 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.