MEDICARE: SARAH GBADEBO LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	100803	CA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356789523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH GBADEBO LMFT

Provider Business Mailing Address
First Line	:	647 BEALL ST
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-5415
Country	:	US
Telephone Number	:	925-719-3179
Fax Number	:

Provider Business Practice Location Address
First Line	:	44444 20TH ST W
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-2714
Country	:	US
Telephone Number	:	661-951-0070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2013
Last Update Date	:	02/12/2026

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