Active NPI
Eboni Jewel Sears
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1033836614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 06870-I
- Practice address
- 900 Karen Ave Ste B202
Las Vegas, NV 89109-1274 - Phone
- (702) 445-7318
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 5060 | NV | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 06870-I | NV | Primary |
Addresses
Primary practice location
900 Karen Ave Ste B202
Las Vegas, NV 89109-1274
Mailing address
1601 S Boulder Hwy Apt 2307
Henderson, NV 89015-8508
Phone (702) 741-8182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06870-I | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 5060 | NV | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1033836614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 S BOULDER HWY APT 2307",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890158508",
"telephone_number": "702-741-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 KAREN AVE STE B202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891091274",
"telephone_number": "702-445-7318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS",
"first_name": "EBONI",
"middle_name": "JEWEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NV",
"license": "5060",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "06870-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
- Samuel Searcy
- Jeffrey David Seare, PA-C
- Wayne Seare, APRN, DNP
- Batool Searle
- Courtney Sears
- Wade Nolan Sears, MD
- Seasons Healthcare, Inc.
- Seasons Hospice & Palliative Care of Nevada LLC (AccentCare Hospice & Palliative Care of Nevada)
- Seasons Hospice Inc (Rainbow Hospice of Las Vegas)
- Ann Jacobson Seastrand, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.