DR. EBONI TIANA BUTLER PSY.D.
NPI 1972733723
Psychologist - Clinical in Fresno, TX

Active since July 15, 2009PECOS Enrolled
4031 FOREST TEAL CT, FRESNO, TX 77545(281) 431-5323(281) 431-5324 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2024, Jun 13, 2017 (2 updates tracked since 2017).

About Dr. Eboni Tiana Butler Psy.d. NPPES

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

DR. EBONI TIANA BUTLER PSY.D. (NPI 1972733723) is an individual clinical provider in Fresno, Texas, licensed in Texas (34589) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972733723
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. EBONI TIANA BUTLERCredential: PSY.D.
Location Address4031 FOREST TEAL CTFresno, TX 77545-8648
Mailing Address4031 Forest Teal CtFresno, TX 77545-8648 · (281) 431-5323 · Fax (281) 431-5324
Fax(281) 431-5324
Sole ProprietorNo
Enumeration DateJuly 15, 2009
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
✔ NPI 1972733723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 34589
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 62492 (TX)
4031 FOREST TEAL CT, Fresno, TX 77545

Other Names 1

Other Name (5)Ms. Eboni Tiana Butler Lpc

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eboni Tiana Butler Psy.d. 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

3

Medicare enrollment records show Eboni Butler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
4031 FOREST TEAL CT
Fresno, TX 77545
  • Reassigned Medicare billing, Texas enrollment
Nurse Practitioner
903 CITATION DR
Stafford, TX 77477
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
Professional
440 BENMAR DR STE 2255
Houston, TX 77060
  • Reassigned Medicare billing, Texas enrollment

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
4031 FOREST TEAL CT
FRESNO, TX 77545

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 Eboni Butler's NPI number?

The NPI number for Eboni Butler is 1972733723. It was assigned to this individual provider in the NPPES registry on July 15, 2009. The provider is also known as Ms. Eboni Tiana Butler Lpc.

Where is Eboni Butler located?

Eboni Butler practices at 4031 Forest Teal Ct, Fresno, TX 77545. The listed phone number is (281) 431-5323.

What is Eboni Butler's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Eboni Butler enrolled in Medicare?

Yes. Eboni Butler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eboni Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eboni Butler reassigns Medicare benefits to 3 organizations: Butler Psychological Group, PLLC (Fresno, TX), Amazing Healthcare Inc (Stafford, TX) and Wellspring Family & Community Institute, LLC (Houston, TX). 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 Eboni Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eboni Butler accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Eboni Butler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eboni Butler was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.