Active NPI
Alicia Marie Ebding, BA, CADC
- Addiction (Substance Use Disorder) Counselor
- Henderson, NV
National Provider Identifier
1225853468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 07943-C
- Practice address
- 1536 N Boulder Hwy
Henderson, NV 89011-4120 - Phone
- (702) 932-2524
- NPI assigned
- Nov 21, 2024
- Last updated
- Feb 18, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACC.0021273 | CO | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 07894-PC | NV | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 07943-C | NV | Primary |
Addresses
Primary practice location
1536 N Boulder Hwy
Henderson, NV 89011-4120
Mailing address
1010 Grand Cerritos Ave
Las Vegas, NV 89183-4658
Phone (808) 649-9246
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACC.0021273 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 07894-PC | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 07943-C | NV | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Treatment Centers, Inc. | Past | Accepting new patients | |
| Mission Treatment Centers, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Henderson Comprehensive Treatment Center
- Methadone Clinic
- Henderson, NV
- NPI 1154637429
-
- Methadone Clinic
- Scottsdale, AZ
- NPI 1700192077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1225853468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 GRAND CERRITOS AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891834658",
"telephone_number": "808-649-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1536 N BOULDER HWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890114120",
"telephone_number": "702-932-2524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBDING",
"first_name": "ALICIA",
"middle_name": "MARIE",
"credential": "BA, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-21",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACC.0021273",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "07894-PC",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "07943-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.