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).
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 |
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 |
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 |
Street Address |
1450 MADISON AVE |
City | COVINGTON |
State | KY |
Zip Code | 41011-3369 |
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 |
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 Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
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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.