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AMY GISELLE CEBALLOS
NPI 1669099479
Marriage & Family Therapist in La Verne, CA

Active since June 26, 2020PECOS Enrolled
1502 FOOTHILL BLVD STE 103, LA VERNE, CA 91750(951) 395-0351 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 16, 2021, Jun 26, 2020 (2 updates tracked since 2020).

About Amy Giselle Ceballos NPPES

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

AMY GISELLE CEBALLOS (NPI 1669099479) is an individual marriage & family therapist in La Verne, California, licensed in California (141105) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669099479
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAMY GISELLE CEBALLOS
Location Address1502 FOOTHILL BLVD STE 103La Verne, CA 91750-3439
Mailing Address1502 Foothill Blvd Ste 103La Verne, CA 91750-3439
Phone(951) 395-0351
Sole ProprietorNo
Enumeration DateJune 26, 2020
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1669099479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 141105
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1502 FOOTHILL BLVD STE 103, La Verne, CA 91750
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Giselle Ceballos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Ceballos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Meridian Counseling
39 mi
Marriage & Family Therapist
11835 W OLYMPIC BLVD STE 815E
Los Angeles, CA 90064
  • Reassigned Medicare billing, California enrollment
  • 79 clinicians in this Medicare group
NPI 1396202206 (323) 332-9905
Grow Healthcare Group PC
321 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

JULIAN MCFADDEN MKM LOGISTICS
Driver
1502 FOOTHILL BLVD STE 103
LA VERNE, CA 91750
Los Angeles County (909) 275-5764
MKM LOGISTICS
Non-emergency Medical Transport (VAN)
1502 FOOTHILL BLVD STE 103
LA VERNE, CA 91750
Los Angeles County (909) 275-5764

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 Amy Ceballos's NPI number?

The NPI number for Amy Ceballos is 1669099479. It was assigned to this individual provider in the NPPES registry on June 26, 2020.

Where is Amy Ceballos located?

Amy Ceballos practices at 1502 Foothill Blvd Ste 103, La Verne, CA 91750. The listed phone number is (951) 395-0351.

What is Amy Ceballos's specialty?

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

Is Amy Ceballos enrolled in Medicare?

Yes. Amy Ceballos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amy Ceballos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Ceballos reassigns Medicare benefits to 2 organizations: Meridian Counseling (Los Angeles, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Ceballos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Ceballos was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.