EBONEE ALYSSA SIMMONS MFT
NPI 1306298179
Marriage & Family Therapist in El Cajon, CA

Active since July 05, 2016PECOS Enrolled
1664 BROADWAY, EL CAJON, CA 92021(619) 579-8685 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 3, 2024, May 8, 2023, Aug 19, 2022 and 5 more (8 updates tracked since 2017).

About Ebonee Alyssa Simmons Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONEE ALYSSA SIMMONS MFT (NPI 1306298179) is an individual marriage & family therapist in El Cajon, California, licensed in California (156039) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1306298179
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameEBONEE ALYSSA SIMMONSCredential: MFT
Location Address1664 BROADWAYEl Cajon, CA 92021-5201
Mailing Address1664 BroadwayEl Cajon, CA 92021-5201
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 5, 2016
Last NPPES UpdateJuly 15, 20258 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
NPI 1306298179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses Licensed in CA · 156039 Licensed in CA · 142972
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 124505 (CA)
1664 BROADWAY, El Cajon, CA 92021

Secondary Practice Locations 3

Location 1409 Camino Del Rio S Ste 201San Diego, CA 92108-3505 · Phone (619) 381-7748
Location 22130 National AveSan Diego, CA 92113-2209 · Phone (619) 515-2338
Location 38755 Aero Dr Ste 230San Diego, CA 92123-1750 · Phone (858) 256-2180

Other Identifiers 1

Medicaid3737810CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ebonee Alyssa Simmons Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173030640
PECOS Enrollment IDI20250729003170
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
Recreation Therapist
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021

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 Ebonee Simmons's NPI number?

The NPI number for Ebonee Simmons is 1306298179. It was assigned to this individual provider in the NPPES registry on July 5, 2016.

Where is Ebonee Simmons located?

Ebonee Simmons practices at 1664 Broadway, El Cajon, CA 92021. The listed phone number is (619) 579-8685.

What is Ebonee Simmons's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Ebonee Simmons enrolled in Medicare?

Yes. Ebonee Simmons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ebonee Simmons was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.