DAWN MARIE ELLIS (NPI# 1790275196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790275196 |
| Entity Type | Individual |
| Full Name | DAWN MARIE ELLIS |
| Credential | LICSW, LADC |
| Practice Address |
120 Labree Ave S Thief River Falls MN 56701-2819 |
| Mailing Address |
10510 State Highway 32 Ne Thief River Falls MN 56701-8419 |
| Practice Telephone | 2186834349 |
| Mailing Telephone | 2186860724 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3719 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184018343 | Dawn Carroll Ellis | Speech-Language Pathologist | 4901 16th St Ne, Washington, DC 20017-3116 | 2015-03-26 |
| 1669753802 | Dawn Ellis | Physical Therapist | 6042 Rob Roy Dr, Oak Forest, IL 60452-1829 | 2011-09-01 |
| 1609023209 | Dawn M Ellis | Physical Therapist | 4141 5th St, Rapid City, SD 57701-6021 | 2008-08-26 |
| 1114195013 | Dawn Ellis | Physician Assistant | 410 Waymont Ct, Lake Mary, FL 32746-3485 | 2008-02-13 |
| 1558405373 | Dawn Ellis | Registered Nurse | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2007-02-16 |
| Street Address |
120 LABREE AVE S |
| City | THIEF RIVER FALLS |
| State | MN |
| Zip Code | 56701-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992447 | Madaline G. Barnes | Psychologist | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2005-09-12 |
| 1710585286 | Sherrie Ann Kahn | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-10-15 |
| 1881212819 | Brady Anderson | Social Worker | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-07-07 |
| 1063035608 | Davis John Mills | Nurse Practitioner | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-05-18 |
| 1770103129 | Jennifer Rose Porter | Nurse Practitioner | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-04-25 |
| 1548800535 | Rozlynn O'lee Johnsrud | Nurse Practitioner | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2020-01-08 |
| 1811466444 | Angelica Erickson | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-11-13 |
| 1023504248 | Miranda Elizabeth Solem | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-07-11 |
| 1033603683 | Ashley Lauren Holtan | Speech-Language Pathologist | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-06-18 |
| 1417446824 | Stacy Mae Carlson | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265885834 | Julia Nelson | Physical Therapist | 1511 Highway 59 S Ste A, Thief River Falls, MN 56701 | 2016-07-19 |
| 1326321167 | Achieve Therapy LLC | Physical Therapist | 201 Brooks Ave, Thief River Falls, MN 56701 | 2011-09-27 |
| 1841581121 | Kathleen G. Barry | Dietitian, Registered | 120 Labree Ave S, Thief River Falls, MN 56701 | 2011-04-21 |
| 1740437789 | Altra Care P A | Clinic/Center | 1140 Vanrooy Dr., Thief River Falls, MN 56701 | 2008-08-21 |
| 1255514477 | Terrence Robert Demars | Social Worker | Meritcare Northwest Medical Center, 120 Labree Ave S, Thief River Falls, MN 56701 | 2007-12-11 |
| 1437290970 | Donna B Helmich | Dentist | 318 La Bree Ave. North, Thief River Falls, MN 56701 | 2007-02-09 |
| 1528129160 | Great Plains Ems, Inc | Ambulance | 511 N Atlantic, Thief River Falls, MN 56701 | 2006-12-13 |
| 1609959022 | John Lloyd Seaverson | Dentist | 318 Labree Ave North, Thief River Falls, MN 56701 | 2006-10-21 |
| 1932280120 | Pennington Health Services | Skilled Nursing Facility | 130 Labree Avenue South, Thief River Falls, MN 56701 | 2006-10-17 |
| 1336232495 | Anderson Hearing Center Ltd | Audiologist | 302 3rd St E, Thief River Falls, MN 56701 | 2006-10-02 |
| Find all providers in zip 56701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811466444 | Angelica Erickson | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2018-11-13 |
| 1346676897 | Lisa Keller Schafer | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2013-09-16 |
| 1336459007 | Trell Ann Kulju | Counselor | 120 Labree Ave S, Thief River Falls, MN 56701-2840 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1578162012 | Bemidji Autism and Children's Therapy LLC | Counselor | 522 Beltrami Ave Nw Ste 110, Bemidji, MN 56601-3002 | 2020-10-24 |
| 1235746579 | Kesha L Bradford | Counselor | 4315 Irving Ave N, Minneapolis, MN 55412-1258 | 2020-09-30 |
| 1386251163 | Jeffrey D Larson, LLC | Counselor | 11735 90th Ave, Milaca, MN 56353-3894 | 2020-09-25 |
| 1407462849 | Anthony Arthur Duhn | Counselor | 6160 Summit Dr N Ste 375, Brooklyn Center, MN 55430-2251 | 2020-09-21 |
| 1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
| 1720694722 | Eleanor (ellie) Freerksen | Counselor | 3 3rd Ave Sw, Dodge Center, MN 55927 | 2020-09-16 |
| 1033724356 | Carmen Iverson | Counselor | 13401 Morgan Ave S Apt 133, Burnsville, MN 55337-2058 | 2020-09-14 |
| 1235744640 | Paige Berg | Counselor | 6053 Hudson Rd Ste 344, Woodbury, MN 55125-1011 | 2020-09-11 |
| 1508479700 | Roy Haddad | Counselor | 5861 Cedar Lake Rd, St Louis Park, MN 55416-1653 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | THIEF RIVER FALLS |
| Zip Code | 56701 |
Please comment or provide details below to improve the information on DAWN MARIE ELLIS.
| 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.