Rebecca Edmonston, LPC, ACC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0000841 Issued in CO

Practice address

2208 Van Patten PL
Las Vegas, NV 89104-2754

Phone

(917) 318-4959

NPI assigned

May 18, 2023

Last updated

May 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1568153716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100400029",
            "telephone_number": "917-318-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 VAN PATTEN PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042754",
            "telephone_number": "917-318-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONSTON",
        "first_name": "REBECCA",
        "credential": "LPC, ACC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0000841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine D Edmondson
• Ranesha Tiana Edmondson
• Richard Edmondson
• Sylvie Lynn Edmondson, OT
• Elizabeth Munro Edmonson, BS
• Kenneth Osita Edmunds, MD
• Roxas Edquilang
• Shania Edrada
• Chynna Marie Edralin
• Natalie Mae Edran

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.