DR. ADRIENNE BENITA ELLIS (NPI# 1104153345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104153345 |
| Entity Type | Individual |
| Full Name | DR. ADRIENNE BENITA ELLIS |
| Credential | PSY.D. |
| Practice Address |
7801 Old Branch Ave Suite 212 Clinton MD 20735-1608 |
| Mailing Address |
10805 Slippery Elm Ct Clinton MD 20735-4097 |
| Practice Telephone | 3018568516 |
| Mailing Telephone | 3018947421 |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC3283 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518289685 | Adrienne Michele Ellis | Licensed Practical Nurse | 1130 Midland Ter, Durham, NC 27704-5140 | 2010-02-17 |
| 1528187556 | Adrienne Charlene Ellis | Obstetrics & Gynecology | 853 N Church St, Suite 600, Spartanburg, SC 29303-3098 | 2007-03-29 |
| Street Address |
7801 OLD BRANCH AVE SUITE 212 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699746354 | Benjamin W Edinger | Specialist | 7801 Old Branch Ave, Suite 300, Clinton, MD 20735-1608 | 2006-01-31 |
| 1932708534 | Henry Augustine | Counselor | 7801 Old Branch Ave, Clinton, MD 20735-1608 | 2020-10-23 |
| 1669931655 | Monique Presbury | Social Worker | 7801 Old Branch Ave, Clinton, MD 20735-1608 | 2019-03-18 |
| 1174034540 | Boladale Badmus | Counselor | 7801 Old Branch Ave, Clinton, MD 20735-1608 | 2017-10-12 |
| 1487105524 | Robert Lee Abercrombie Jr. | Counselor | 7801 Old Branch Ave, Suite 212, Clinton, MD 20735-1608 | 2016-10-24 |
| 1013308972 | Eline Leonore Mul | Physician Assistant | 7801 Old Branch Ave, Suite 202, Clinton, MD 20735-1608 | 2015-02-13 |
| 1801215728 | Jacqueline Brauer | Social Worker | 7801 Old Branch Ave, Clinton, MD 20735-1608 | 2014-04-08 |
| 1124452610 | Ayanna T.c. Seide | Counselor | 7801 Old Branch Ave, Suite 212, Clinton, MD 20735-1608 | 2013-09-03 |
| 1104179431 | Melanie Lorraine Joell | Counselor | 7801 Old Branch Ave, Clinton, MD 20735-1608 | 2012-10-24 |
| 1508163536 | Sanam Toossi | Social Worker | 7801 Old Branch Ave, Suite 212, Clinton, MD 20735 | 2011-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750478 | Latibbie Cavett | Counselor | 1311 Rosemont Dr, Clinton, MS 39056-3954 | 2020-11-05 |
| 1871136267 | Michael Deshuan Gordon | Counselor | 112 Spanish Moss Dr, Clinton, MS 39056-5838 | 2019-10-18 |
| 1255989117 | Donette Lyn Rotta | Counselor | 6300 Storkson Rd # B2, Clinton, WA 98236-9514 | 2019-09-03 |
| 1235692534 | Mending Broken Bridges Counseling & Consultation, LLC | Counselor | 801 E Northside Dr Ste C, Clinton, MS 39056-3663 | 2019-04-12 |
| 1982171260 | Tanya Vincent | Counselor | 7105 Chickweed Ct, Clinton, MD 20735-5856 | 2018-10-25 |
| 1962926188 | Lashonna Denise Fletcher | Counselor | 201 Kirkwood Dr, Clinton, MS 39056-5970 | 2017-07-29 |
| 1780112268 | Shonda Monique Sessoms | Counselor | 203b Lindale Cir, Clinton, MS 39056-4507 | 2017-05-30 |
| 1295261857 | Well Being Counseling Center LLC | Counselor | 9015 Woodyard Rd Ste 215, Clinton, MD 20735-4209 | 2017-05-02 |
| 1558894428 | Linda Buckmon | Counselor | 5809 Spyri Dr, Clinton, MD 20735-3725 | 2017-04-07 |
| 1467997296 | Janice Hopkins Jr. | Counselor | 420 Rolling Grove Dr, Clinton, MS 39056-2047 | 2017-01-03 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.