ANIKA ELLINGTON (NPI# 1144658907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144658907 |
| Entity Type | Individual |
| Full Name | ANIKA ELLINGTON |
| Practice Address |
945 N Indian Creek Dr Clarkston GA 30021-2221 |
| Mailing Address |
3500 Kilpatrick Ln Snellville GA 30039-8642 |
| Practice Telephone | 4044686603 |
| Mailing Telephone | 4044686603 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC007066 | GA | Behavioral Health & Social Service Providers |
| Street Address |
945 N INDIAN CREEK DR |
| City | CLARKSTON |
| State | GA |
| Zip Code | 30021-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316178049 | Chanda Lynne Pilgrim | Psychologist | 945 N Indian Creek Dr, Clarkston, GA 30021-2221 | 2009-07-29 |
| 1851935902 | Dana Vermelle Nowlin | Counselor | 945 N Indian Creek Dr, Clarkston, GA 30021-2221 | 2019-11-01 |
| 1942638747 | Kimberly Veira | Social Worker | 945 N Indian Creek Dr, Clarkston, GA 30021-2221 | 2013-10-15 |
| 1922436757 | James Harris II | Counselor | 945 N Indian Creek Dr, Clarkston, GA 30021-2221 | 2013-10-14 |
| 1942556188 | Patricia Williams | Counselor | 945 N Indian Creek Dr, Clarkston, GA 30021-2221 | 2012-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578081808 | Marqueta A Coffer | Case Manager/Care Coordinator | 1380 Brockett Pl, Clarkston, GA 30021 | 2017-09-07 |
| 1063965143 | Bertukan Worku Demas | Pharmacist | 3671 Cobble Mill Ln, Clarkston, GA 30021 | 2016-07-26 |
| 1912341967 | Esther Kim | Family Medicine | 887 N Indian Creek Dr Ste A, Clarkston, GA 30021 | 2013-04-22 |
| 1265739437 | Carepoint Home Care, LLC | In Home Supportive Care | 4122 E Ponce Deleon Avenue, Unit 9, Clarkston, GA 30021 | 2011-02-23 |
| 1790956530 | Thu D. Vu | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| 1740310630 | Gentle Dental | Dentist | 3595 Hill St., Clarkston, GA 30021 | 2007-03-07 |
| 1679528491 | Ojoru Osunkoya | Pediatrics | 4112 E. Ponce De Leon, Clarkston, GA 30021 | 2006-05-23 |
| 1700849825 | Regina Allen Hardin | Pediatrics | 4112 E. Ponce De Leon Avenue, Clarkston, GA 30021 | 2006-04-10 |
| 1831514538 | Caudelle & Wilson Eye Care LLC | Optometrist | 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30021 | 2014-03-04 |
| 1881865624 | Vanessa Phan | Dentist | 3596 Hill Street, Clarkston, GA 30021 | 2008-03-20 |
| Find all providers in zip 30021 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1558978528 | David Sperry | Counselor | 1303 Poplar St, Clarkston, WA 99403-2345 | 2020-09-24 |
| 1457978322 | Patrick Marcoux | Counselor | 39 S Main St Ste 2, Clarkston, MI 48346-1590 | 2020-06-26 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| 1821387432 | Diane Baker | Counselor | 5395 Taylor Ln, Clarkston, MI 48346-1746 | 2011-04-04 |
| 1992932826 | Tiffany Cheryl Taylor | Counselor | 1057 Echo Woods Ct, Clarkston, GA 30021-2703 | 2009-06-18 |
| 1558502807 | Mark C Mckarcher | Counselor | 744 5th St, Suite D, Clarkston, WA 99403-2670 | 2009-03-17 |
| 1740434471 | John David Canine | Counselor | 936 S Baldwin Rd, 102, Clarkston, MI 48348-3695 | 2008-11-07 |
| 1780802835 | Judith A Cox-wentz | Counselor | 6887 Dixie Hwy Ste A, Clarkston, MI 48346-5107 | 2007-04-23 |
| Find all providers in CLARKSTON | ||||
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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.