Active NPI
Lorraine Edythe Ebright, MC MASTERS IN COUNSE
- Counselor
- Mesa, AZ
National Provider Identifier
1972638351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC0293
- Practice address
- 1830 S Alma School
Suite 112
Mesa, AZ 85201 - Phone
- (480) 730-6222
- Fax
- (480) 730-3513
- NPI assigned
- Feb 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC0293 | AZ | Primary |
Addresses
Primary practice location
1830 S Alma School
Suite 112
Mesa, AZ 85201
Mailing address
21114 East Stirrup Street
Queen Creek, AZ 85242
Phone (480) 882-2624
Other names 1
- Lorraine Edythe Matthews
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0293 | AZ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Psychology Consultants, Inc. | Past | Accepting new patients | |
| Professional Counseling Associates, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pastoral Counselor
- Mesa, AZ
- NPI 1295852051
-
- Marriage & Family Therapist
- Mesa, AZ
- NPI 1568581031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972638351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21114 EAST STIRRUP STREET",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "85242",
"telephone_number": "480-882-2624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 S ALMA SCHOOL",
"address_2": "SUITE 112",
"city": "MESA",
"state": "AZ",
"postal_code": "85201",
"telephone_number": "480-730-6222",
"fax_number": "480-730-3513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBRIGHT",
"first_name": "LORRAINE",
"middle_name": "EDYTHE",
"name_prefix": "Mrs.",
"credential": "MC MASTERS IN COUNSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LPC0293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORRAINE",
"last_name": "MATTHEWS",
"middle_name": "EDYTHE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.