Healthcare Provider Details

I. General information

NPI: 1124441662
Provider Name (Legal Business Name): AMY EBERT LPCC, PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2014
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 W NORWOOD PL
ALHAMBRA CA
91803-3217
US

IV. Provider business mailing address

509 W NORWOOD PL
ALHAMBRA CA
91803-3217
US

V. Phone/Fax

Practice location:
  • Phone: 626-943-3660
  • Fax:
Mailing address:
  • Phone: 626-943-3660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00317065
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC3987
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number250260491
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: