MICHELLE MATSON ELLIS (NPI# 1659766186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659766186 |
Entity Type | Individual |
Full Name | MICHELLE MATSON ELLIS |
Other Name | MICHELLE KAY MATSON |
Credential | MACP |
Practice Address |
1809 Commercial Ave Ste 207 Anacortes WA 98221-2326 |
Mailing Address |
4518 Schooner Dr Anacortes WA 98221-4060 |
Practice Telephone | 4258924997 |
Practice Fax Number | 4259526918 |
Mailing Telephone | 2068902417 |
Enumeration Date | 2015-04-01 |
Last Update Date | 2020-08-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60742082 | WA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
100 State St S, Kirkland, WA 980336667 | 4258924997 | 4259526918 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053845347 | Michelle Ellis | Massage Therapist | 11217 E 11th Ave, Spokane Valley, WA 99206-2836 | 2017-04-13 |
1851743017 | Michelle Ellis | Registered Nurse | 33 West 125th Street, New York, NY 10027 | 2016-07-11 |
1679955603 | Michelle Ellis | Physical Therapy Assistant | 1885 W 5th St, Colby, KS 67701-1511 | 2015-06-26 |
1912331778 | Michelle Ellis | Registered Nurse | 1152 Neilson St, Apt 1, Far Rockaway, NY 11691-4735 | 2013-08-29 |
1700125663 | Michelle Lorraine Ellis | Registered Nurse | 15501 E 13th Ave, Aurora, CO 80011-7203 | 2013-02-12 |
1013253426 | Michelle Lee Ellis | Occupational Therapy Assistant | 5821 N Hermosa Cir, Otis Orchards, WA 99027-8278 | 2012-12-13 |
1790059459 | Michelle Ellis | Nurse Practitioner | 3157 Robert C. Byrd Dr., Beckley, WV 25801 | 2012-02-28 |
1023328499 | Michelle Nakiesha Ellis | Licensed Practical Nurse | 25110 Tryon Rd, Oakwood Village, OH 44146 | 2010-10-19 |
1750482253 | Michelle Andree Ellis | Psychologist | 639 E Speedway, Tucson, AZ 85705 | 2006-09-26 |
1710594049 | Michelle Lynae Ellis | Behavior Technician | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904-4559 | 2020-09-30 |
Street Address |
1809 COMMERCIAL AVE STE 207 |
City | ANACORTES |
State | WA |
Zip Code | 98221-2326 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760035703 | Amber Upchurch | Behavioral Analyst | 2405 28thst, Anacortes, WA 98221 | 2019-07-18 |
1508329475 | Sean Elby Kasperbauer-mccool | Massage Therapist | 1010 6th St., Suite A, Anacortes, WA 98221 | 2019-04-09 |
1558843524 | Caitlyn Kimble Crowder | Physical Therapist | 1610 Commercial Ave Ste 1-a, Anacortes, WA 98221 | 2018-09-05 |
1740731819 | Stanojka Norma Stuart | Speech-Language Pathologist | 6837 Deer Lane, Anacortes, WA 98221 | 2016-10-24 |
1447638853 | Island Behavioral Medicine, Ps | Counselor | 3208 K Ave, Anacortes, WA 98221 | 2015-05-18 |
1972903615 | Clarence Hugh Jonson | Specialist | 6818 Gibralter Place, Anacortes, WA 98221 | 2014-08-29 |
1073939062 | Puget Sound Kidney Centers | Clinic/Center | 809 31st St, Anacortes, WA 98221 | 2014-03-14 |
1104161066 | Nancy J. Schafer | Speech-Language Pathologist | 2200 M Avenue, Anacortes, WA 98221 | 2012-12-04 |
1063766053 | Ingrid K. Larson Thieman | Pharmacist | 9080 S March Pt Road B4, Anacortes, WA 98221 | 2012-10-30 |
1265793723 | Elga Kinnear | Psychologist | 1019 21st Street, Anacortes, WA 98221 | 2012-05-31 |
Find all providers in zip 98221 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366067357 | Suzan April White-house | Counselor | 4133 San Juan Blvd, Anacortes, WA 98221-8516 | 2020-06-15 |
1447638853 | Island Behavioral Medicine, Ps | Counselor | 3208 K Ave, Anacortes, WA 98221 | 2015-05-18 |
1518368950 | Heather Hamilton | Counselor | 3014 Commercial Ave, Suite C, Anacortes, WA 98221-2780 | 2014-09-04 |
1184932162 | Suzanne R Oliver | Counselor | 1015 6th Street #101, Anacortes, WA 98221 | 2010-09-23 |
1871827287 | Sheila Simpson-creps | Counselor | 1004 7th St Ste 207, Anacortes, WA 98221-4133 | 2009-10-01 |
1407041940 | Sara E Swanson | Counselor | 1011 27th St, Anacortes, WA 98221-2708 | 2007-09-07 |
1760697189 | Anthony J Vecchione Jr. | Counselor | 606 Commercial Ave, Suite H, Anacortes, WA 98221-1700 | 2007-05-11 |
1154466225 | John B Swain | Counselor | 1909 Skyline Way, Suite 103, Anacortes, WA 98221-2992 | 2007-02-20 |
1598837080 | Charlotte R Underwood | Counselor | 606 Commercial Avenue, Suite B, Anacortes, WA 98221 | 2006-11-14 |
1598863565 | Christopher Paul Allen | Counselor | 1601 R Ave, Anacortes, WA 98221-2276 | 2006-09-21 |
Find all providers in ANACORTES |
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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.