Active NPI
Adryana Desiree Debenedittis, RBT
- Professional Counselor
- Las Vegas, NV
National Provider Identifier
1093313082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CI5330
- Practice address
- 408 S Jones Blvd
Las Vegas, NV 89107-2658 - Phone
- (702) 502-8021
- Fax
- (888) 688-9464
- NPI assigned
- Oct 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CI5330 | NV | Primary |
Addresses
Primary practice location
408 S Jones Blvd
Las Vegas, NV 89107-2658
Mailing address
1921 Warrenville St
Las Vegas, NV 89117-6928
Phone (702) 807-6296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-137259 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | abainstitute.us |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI5330 | NV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1093313082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 WARRENVILLE ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891176928",
"telephone_number": "702-807-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072658",
"telephone_number": "702-502-8021",
"fax_number": "888-688-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBENEDITTIS",
"first_name": "ADRYANA",
"middle_name": "DESIREE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CI5330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "RBT-20-137259",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "abainstitute.us",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "408 S Jones Blvd",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891072658",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.