ETHAN JOHN MESSER MA
NPI 1124150057
Counselor - Mental Health in La Mesa, CA
About Ethan John Messer Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN JOHN MESSER MA (NPI 1124150057) is an individual mental health provider in La Mesa, California, licensed in California (128272) and active in the NPI registry since March 2007. He has opted out of Medicare through January 25, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ethan John Messer Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 25, 2024 through January 25, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Messer's NPI number?
The NPI number for Ethan Messer is 1124150057. It was assigned to this individual provider in the NPPES registry on March 9, 2007.
Where is Ethan Messer located?
Ethan Messer practices at 5480 Baltimore Dr Ste 202, La Mesa, CA 91942. The listed phone number is (619) 277-7843.
What is Ethan Messer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Ethan Messer enrolled in Medicare?
No. Ethan Messer has opted out of Medicare through January 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Ethan Messer was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ethan John Messer, MA · NPI 1124150057
Mental Health provider in La Mesa, California. Individual provider, active in the CMS NPPES registry since March 9, 2007.
## Identity
- **NPI:** 1124150057 (Entity type: Individual)
- **Enumerated:** March 9, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 128272 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5480 BALTIMORE DR STE 202, La Mesa, CA 91942-2015
- **Phone:** (619) 277-7843
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 25, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124150057) · Data from the CMS NPPES public registry.