Ebonii Nelson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

77824 Issued in TX

Practice address

1201 N Watson Rd Ste 165
Arlington, TX 76006-6223

Phone

(469) 939-6827

NPI assigned

Jan 25, 2019

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)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reviive Therapy Services, PLLC

  • Professional Counselor
  • Arlington, TX
  • NPI 1437935061
  NPD Authorized official
• Angel Wings Healthcare LLC

  • Community Based Hospice Care Agency
  • Arlington, TX
  • NPI 1245601442
  NPD (past)

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1861956633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HARWELL DR APT 1324",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760118815",
            "telephone_number": "469-939-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 165",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066223",
            "telephone_number": "469-939-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "EBONII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neios Counseling Services
• Amanda L Nelson, CRNA
• Anna Nelson, M.D.
• Darren L Nelson, MD
• David M Nelson, DDS
• Kevin F Nelson, PA-C
• Thomas D Nelson, D.O.
• Vincent J Nerviano, PH.D.
• Nestra Quality Adult Care LLC
• Network Provider Associates

• Professional Counselor in Arlington, TX
• Providers in Arlington, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.