JESSICA MARIE ELLIS


Address: 1450 Madison Ave, Covington, KY 41011-3369
Phone: 8594444499

JESSICA MARIE ELLIS (NPI# 1114487188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114487188
Entity Type Individual
Full Name JESSICA MARIE ELLIS
Credential LCDCIII, CADC
Practice Address 1450 Madison Ave
Covington
KY 41011-3369
Mailing Address 419 Avon Ct
Crescent Park
KY 41017-1616
Practice Telephone 8594444499
Practice Fax Number 8599166713
Mailing Telephone 8592508460
Mailing Fax Number 8599166713
Enumeration Date 2019-03-25
Last Update Date 2019-03-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
164249 KY Behavioral Health & Social Service Providers

Other Providers JESSICA ELLIS

NPI Name Taxonomy Address Enumeration
1568081081 Jessica Ann Ellis Registered Nurse 3910 Ashwood Dr, Pearland, TX 77584-9200 2020-04-14
1003289950 Jessica Lynn Ellis Licensed Practical Nurse 414 Linden Pl, Elmira, NY 14901-1622 2015-11-01
1851775704 Jessica Ellis Counselor 2132 S 12th St Ste 103, Allentown, PA 18103-4814 2015-07-09
1356529358 Jessica Erin Ellis Registered Nurse 500 Bethany Woods Dr, Temple, GA 30179-3574 2008-02-01
1407348295 Jessica Ellis Behavior Technician 5304 Hollyridge St, North Las Vegas, NV 89081-4000 2018-06-06
1255849832 Jessica Ellis Registered Nurse 2850 S Industrial Hwy, Ann Arbor, MI 48104-6796 2018-01-17
1124571690 Jessica Ellis Speech-Language Pathologist 105 S Ridgecrest Ave, Nixa, MO 65714-7807 2016-08-01
1962850800 Jessica J Ellis Dental Hygienist 228 Beeman Pl, Us Army Dental Activity, Ft Riley, KS 66442-7009 2016-06-01
1851768907 Jessica Ellis Pharmacist 322 Brownsville Loop, Lonoke, AR 72086-9348 2015-08-25
1861893380 Jessica Anne Ellis Counselor 1590 Crestview Dr, Ashland, OH 44805-3560 2014-09-16

Office Location

Street Address 1450 MADISON AVE
City COVINGTON
State KY
Zip Code 41011-3369

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104487297 Shakeyliea Robinson Counselor 1450 Madison Ave, Covington, KY 41011-3369 2019-06-28
1114585775 Kathleen Thayer Winstead Counselor 1450 Madison Ave, Covington, KY 41011-3369 2019-05-30
1548723638 Jacob Renick Lauver Counselor 1450 Madison Ave, Covington, KY 41011-3369 2019-04-08
1639632722 Aneesah Mailakia Bankhead Counselor 1450 Madison Ave, Covington, KY 41011-3369 2019-04-08
1093276032 Martin Mathews Counselor 1450 Madison Ave, Covington, KY 41011-3369 2019-03-30
1689190118 Metro Treatment of Kentucky, Lp Clinic/Center 1450 Madison Ave, Covington, KY 41011-3369 2017-08-16
1588004204 Karen R Hanson Social Worker 1450 Madison Ave, Covington, KY 41011-3369 2013-06-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053850925 Gina Shields New Physical Therapist 1500 James Simpson Jr Drive, Covington, KY 41011 2017-02-13
1730623091 Sarah S. Laube Dietitian, Registered 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 2016-12-06
1366858557 Shannon Rebecca Russell Social Worker 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 2014-07-08
1629417183 Mortenson Family Dental Center- Ft Wright Pllc Dentist 1983 Dixie Hwy, Ft Mitchell, KY 41011 2013-06-18
1609150325 Amanda Banks Galer Social Worker 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 2011-09-29
1750510004 Marilyn Ruth Baker Speech-Language Pathologist 425 Garrad Street, Covington, KY 41011 2009-07-08
1093952327 Douglas H Rank Md Psc Psychiatry & Neurology 12 West Pike St, Covington, KY 41011 2009-01-08
1376796722 Bernice Raeann Calhoun Counselor 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 2008-10-29
1609052265 Marilyn Woods Social Worker 722 Scott Street, 3rd Floor, Covington, KY 41011 2008-01-14
1801089933 Craig Louis Walsh Dentist 1846 Beacon Hill Ave, Fort Wright, KY 41011 2007-08-22
Find all providers in zip 41011

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265079206 Familycare Counseling Solutions LLC Counselor 526 Greenup St, Covington, KY 41011-2522 2019-12-10
1265079784 Bailee Brown Counselor 1623 Banklick St, Covington, KY 41011-2930 2019-12-03
1306407630 Brian Christopher Pickett Counselor 72658 Holly Rd, Covington, LA 70433-7324 2019-06-26
1447727185 Rebecca Lee Elliston Counselor 525 W 5th St Ste 219, Covington, KY 41011-1293 2018-10-31
1699242867 Ten Ten Program Inc Counselor 303 Court St Fl 7, Covington, KY 41011-1639 2018-10-25
1700337300 Andrea Mae Westmoreland Counselor 10614 Magnolia Heights Cir, Apartment 614, Covington, GA 30014-4104 2016-10-18
1235591793 Paul Schoen Counselor 125 Crapemyrtle Rd, Covington, LA 70433-4708 2016-03-24
1366829814 Wendy Pazdur Counselor 5109 Hwy 278 East, Suite D, Covington, GA 30014 2015-05-05
1831591619 Nicole Arnold Counselor 35 Lightwood Dr, Apt/suite, Covington, GA 30016-1915 2014-09-23
1568875516 Todd C Morris Counselor 1191 Torreys Ct, Covington, KY 41011-1122 2014-06-07
Find all providers in COVINGTON

Competitor

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City COVINGTON
Zip Code 41011

Improve Information

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Dataset Information

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.

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