Ebony Tyson, LCAS-A

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1412 Saint James PL
Kinston, NC 28504-2542

Phone

(252) 268-4695

NPI assigned

May 15, 2017

Last updated

Aug 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Crossroads Treatment Center of Greensboro, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Greensboro, NC
  • NPI 1245482793
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1275060857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SAINT JAMES PL",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285042542",
            "telephone_number": "252-268-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SAINT JAMES PL",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285042542",
            "telephone_number": "252-268-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "EBONY",
        "name_prefix": "Mrs.",
        "credential": "LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Farmer Turner, FNP-BC
• Lynwood C Turner, DDS
• Michel Reese Turner, MED, LCAS
• Heather Erin Tyndall, PA
• Stephanie D Tyndall, FNP-C APRN MSN-E
• Unc Physicians Network, LLC
• Unc Physicians Network, LLC
• Unc Physicians Network, LLC
• Unity Assisted Living #3
• University of North Carolina Hospitals at Chapel Hill (UNC Health Complete Care)

• Addiction (Substance Use Disorder) Counselor in Kinston, NC
• Providers in Kinston, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.