Individual provider Active NPI

Lorraine Edythe Ebright, MC MASTERS IN COUNSE

  • Counselor
  • Mesa, AZ
National Provider Identifier
1972638351
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC0293 Issued in AZ
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
LPC0293AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.