Individual provider Active NPI

Alicia Marie Ebding, BA, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Henderson, NV
National Provider Identifier
1225853468
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
07943-C Issued in NV
Practice address
1536 N Boulder Hwy
Henderson, NV 89011-4120
Phone
(702) 932-2524
NPI assigned
Nov 21, 2024
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ACC.0021273COMDAddiction (Substance Use Disorder) Counselor
07894-PCNVMDAddiction (Substance Use Disorder) Counselor
07943-CNVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.