TARA ELLIS (NPI# 1700346202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700346202 |
| Entity Type | Individual |
| Full Name | TARA ELLIS |
| Credential | PLMHP |
| Practice Address |
815 K St Lincoln NE 68508-2960 |
| Practice Telephone | 4024740011 |
| Mailing Telephone | 4024740011 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 11803 | NE | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003325424 | Tara Lynn Ellis | Registered Nurse | 23 Husky Lane, Malone, NY 12953 | 2017-09-28 |
| 1366545980 | Tara Flynn Ellis | Registered Nurse | 1968 Peachtree Rd, Atlanta, GA 30309 | 2006-09-07 |
| 1275005423 | Tara Ellis | Physical Therapist | 909 N Washington Ave, Dallas, TX 75246-1520 | 2018-12-28 |
| 1972842532 | Tara Kay Ellis | Speech-Language Pathologist | 1211 S 29th St, Chickasha, OK 73018-9651 | 2013-02-01 |
| 1861719643 | Tara Ellis | Social Worker | 675 Main St, Middletown, CT 06457-2718 | 2010-05-03 |
| Street Address |
815 K ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68508-2960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231153 | Kerri Peterson | Counselor | 815 K St, Lincoln, NE 68508-2960 | 2020-07-06 |
| 1043844814 | Morgan Jean Smith | Counselor | 815 K St, Lincoln, NE 68508-2960 | 2020-03-02 |
| 1154989820 | Nicole Lee Weaver | Counselor | 815 K St, Lincoln, NE 68508-2960 | 2019-05-29 |
| 1184189300 | Taylor Schoen | Counselor | 815 K St, Lincoln, NE 68508-2960 | 2019-02-01 |
| 1174002810 | Olivia Faubel | Counselor | 815 K St, Lincoln, NE 68508-2960 | 2018-08-13 |
| 1477070415 | Denise J Barrow | Counselor | 815 K St, Lincoln, NE 68508 | 2017-08-29 |
| 1104163922 | Erica Exstrom | Counselor | 815 K St, Lincoln, NE 68508-2960 | 2013-01-14 |
| 1457620858 | Elizabeth Sizer | Counselor | 815 K St, Lincoln, NE 68508-2960 | 2011-12-14 |
| 1578726980 | Sheena Reichenberg | Counselor | 815 K St, Lincoln, NE 68508-2960 | 2008-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941148 | Jacob Johnson | Counselor | 815 K Street, Lincoln, NE 68508 | 2020-01-15 |
| 1518364348 | Jairrion Raino | Social Worker | 1000 South 13th Street, Lincoln, NE 68508 | 2014-11-21 |
| 1518204536 | Robert Scott Fox | Clinic/Center | 110 Q St., Lincoln, NE 68508 | 2013-01-10 |
| 1033418355 | Kimberly Marie Widicker-densberger | Social Worker | 1005 O Street, Suite 300, Lincoln, NE 68508 | 2011-03-25 |
| 1578797064 | Amber N Waddell | Substance Abuse Rehabilitation Facility | 721 J St, Lincoln, NE 68508 | 2009-05-12 |
| 1396803490 | Bright Smile Dental | Dentist | 140 So 16th Street, Lincoln, NE 68508 | 2006-12-04 |
| 1265086698 | Mindful Counseling and Wellness, LLC | Clinic/Center | 421 S 9th St Ste 126, Lincoln, NE 68508 | 2019-07-24 |
| 1366933624 | Leslie Delong, Phd, P.C. | Psychologist | 650 J St Ste 201, Lincoln, NE 68508 | 2018-05-22 |
| 1285153734 | Sara Qadi | Dentist | 4000 E Campus Loop, Lincoln, NE 68508 | 2017-09-15 |
| 1952766313 | Rachel A Denney | Counselor | 1640 L St Ste C, Lincoln, NE 68508 | 2015-12-29 |
| Find all providers in zip 68508 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487117966 | Kimberly Dawn Moore | Counselor | 6315 Aylesworth Ave, Lincoln, NE 68505-1276 | 2019-04-10 |
| 1861980823 | Melodie Dawn Crawford | Counselor | 325 Eastland Dr, Lincoln, AL 35096-4061 | 2018-04-25 |
| 1467958108 | Jillian Lee Miles | Counselor | 617 S 25th St, Lincoln, NE 68510-3002 | 2018-04-02 |
| 1477052793 | Mary Louise Mccauley-long | Counselor | 330 N 56th St, Lincoln, NE 68504-3520 | 2018-02-02 |
| 1114370236 | Kelly Easton | Counselor | 62 Carriage Dr, Lincoln, RI 02865-3428 | 2016-07-14 |
| 1790156040 | Origins Health and Wellness, LLC | Counselor | 2123 Winthrop Rd, Suite B, Lincoln, NE 68502-4156 | 2015-10-13 |
| 1861861718 | Janet Irene Barryrogers | Counselor | 10 Orchard Avenue, Lincoln, RI 02865-4716 | 2015-09-22 |
| 1568861201 | Cornerstone Families II LLC | Counselor | 4630 Antelope Creek Road, Suite 140, Lincoln, NE 68506 | 2014-08-19 |
| 1760894307 | Mary Joan Laging | Counselor | 4100 South St., Suite A, Lincoln, NE 68506 | 2014-06-02 |
| 1144645706 | Jennifer Engelhaupt | Counselor | 8101 O St Ste 118, Lincoln, NE 68510-2647 | 2014-02-19 |
| Find all providers in LINCOLN | ||||
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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.