NPIMap

Organization Active NPI

Ebony House Inc

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
National Provider Identifier
1710161419
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
EBONY HOUSE INC
Practice address
1616 E Indian School Rd Ste 102
Phoenix, AZ 85016-8602
Phone
(602) 254-6137
Fax
(602) 254-6140
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Sheena Rosette Jones
Title
Ceo
Phone
(602) 276-4288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1616 E Indian School Rd Ste 102
Phoenix, AZ 85016-8602

Mailing address

6222 S 13TH St
Phoenix, AZ 85042-4408
Phone (602) 276-4288

Other practice location 1

6222 13th St Bldg Y
Phoenix, AZ 85042
Phone (602) 276-4288

Other identifiers 2

IdentifierTypeStateIssuer
274629MedicaidAZ
274629OtherAZAHCCCS

National Provider Directory

National Provider Directory
Tax ID family
Ebony House Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6222 S 13th St
Bldg Y
Phoenix, AZ 85042
Phone (602) 276-4288

1616 E Indian School Rd
Ste 102
Phoenix, AZ 85016
Phone (602) 254-6137

6222 S 13th St
Phoenix, AZ 85042
Phone (602) 276-4288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1710161419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 S 13TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424408",
            "telephone_number": "602-276-4288",
            "fax_number": "602-232-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E INDIAN SCHOOL RD STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168602",
            "telephone_number": "602-254-6137",
            "fax_number": "602-254-6140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6222 13th St Bldg Y",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85042",
            "country_code": "US",
            "telephone_number": "602-276-4288",
            "fax_number": "602-232-2938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EBONY HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_middle_name": "ROSETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-276-4288"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274629",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "274629",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.