Active NPI
Ezzie Nikita Nelson, M.ED.,LICDC
- Addiction (Substance Use Disorder) Counselor
- Cincinnati, OH
National Provider Identifier
1992362933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC.162642
- Practice address
- 1402 Westen Ave
Cincinnati, OH 45214 - Phone
- (513) 412-7241
- NPI assigned
- May 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | OH | ||
| Homemaker | 376J00000X | OH | ||
| Counselor | 101Y00000X | C.2304637-TRNE | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.162642 | OH | Primary |
| Personal Care Attendant | 3747P1801X | OH | ||
| Respite Care | 385H00000X | OH |
Addresses
Primary practice location
1402 Westen Ave
Cincinnati, OH 45214
Mailing address
1409 Western Ave
Cincinnati, OH 45214-2041
Phone (513) 412-7241
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2304637-TRNE | OH | MD | Counselor |
| LICDC.162642 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1992362933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 WESTERN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452142041",
"telephone_number": "513-412-7241",
"fax_number": "513-651-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 WESTEN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45214",
"telephone_number": "513-412-7241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "EZZIE",
"middle_name": "NIKITA",
"credential": "M.ED.,LICDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.2304637-TRNE",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.162642",
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.