Individual provider Active NPI

Krystal Sommer Ellison-Smith, CADC-I

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
National Provider Identifier
1457933756
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
07779-I Issued in NV
Practice address
2545 S Torrey Pines Dr
Las Vegas, NV 89146-4007
Phone
(702) 445-7318
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 07779-I NV Primary

Addresses

Primary practice location

2545 S Torrey Pines Dr
Las Vegas, NV 89146-4007

Mailing address

2545 S Torrey Pines Dr
Las Vegas, NV 89146-4007
Phone (702) 445-7318

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

LicenseStateTypeSpecialty
07779-INVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
There Is No Hero in Heroin (Tinhih) CurrentSince Jun 1, 2024 Accepting new patients
There Is No Hero in Heroin (Tinhih) PastSince Jun 9, 2024 Accepting new patients

Locations

2545 S Torrey Pines Dr
Las Vegas, NV 89146
Phone (702) 445-7318

3441 W Sahara Ave
Ste C1
Las Vegas, NV 89102
Phone (702) 445-7318

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": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1457933756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 S TORREY PINES DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464007",
            "telephone_number": "702-445-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 S TORREY PINES DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464007",
            "telephone_number": "702-445-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON-SMITH",
        "first_name": "KRYSTAL",
        "middle_name": "SOMMER",
        "credential": "CADC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "07779-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 7, 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.