Charles Johnson Ethelbah, CMPSS
Peer Specialist · Campo, CA
Charles Johnson Ethelbah, CMPSS is a peer specialist with a practice address in Campo, California, and NPI 1447125885, issued on Oct 7, 2025. Check the license (California MPSS-ZKDUCT, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Charles Johnson Ethelbah
- Credential
- CMPSS
- Primary taxonomy
- Peer Specialist 175T00000X
- License number
- MPSS-ZKDUCT CA
Self-reported in NPPES; status is on the state search - Practice location
- 1777 Buckman Springs RD, Campo, CA 91906
- Phone
- (619) 478-5696
- Enumerated
- Oct 7, 2025
- Record last updated
- Oct 7, 2025
- Entity
- Type 1 · individual
Also registered at 1777 Buckman Springs RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Brian Baldwin, SUDRCAddiction (Substance Use Disorder) Counselor1326756065
- Caitlyn Baldwin, RADTAddiction (Substance Use Disorder) Counselor1508564873
- Zachariah Barrett, CMPSSPeer Specialist1326926643
- Matteson Brickner, RADTAddiction (Substance Use Disorder) Counselor1437962040
Verify Charles Johnson Ethelbah in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license MPSS-ZKDUCTCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
5 peer specialist records list a practice address in Campo
They are 5 of the 91 NPPES records with a practice address in Campo, and 4,528 peer specialist records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 5 in Campo → All 4,528 in California → Every provider in Campo →
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- Dylan Abel, PSSLos Angeles, CA1255251963
- David AblesClearlake, CA1790069953
- Jennifer AbrahamOakland, CA1417580739
- Jynnahlove AbshireRoseville, CA1003525247
- Alondra Abud BlancoLa Puente, CA1881411981
Common questions
What is Charles Johnson Ethelbah, CMPSS's NPI number?
Charles Johnson Ethelbah, CMPSS's National Provider Identifier (NPI) is 1447125885, issued on Oct 7, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Charles Johnson Ethelbah, CMPSS located?
The NPPES record lists a practice address at 1777 Buckman Springs RD, Campo, CA, 91906. Phone: (619) 478-5696. Providers update this record themselves, so call before visiting.
How can I verify Charles Johnson Ethelbah, CMPSS's license?
NPPES lists California license number MPSS-ZKDUCT, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.