BETH ELLIS (NPI# 1104074327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104074327 |
| Entity Type | Individual |
| Full Name | BETH ELLIS |
| Practice Address |
404 Holston Dr Greeneville TN 37743-3126 |
| Practice Telephone | 4234700346 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE | 3697678 | 01 |
| TN | 3013231 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801231857 | Beth Taylor Ellis | Nurse Practitioner | 1700 6th Ave S, Birmingham, AL 35233-1802 | 2013-05-03 |
| 1356508899 | Beth Harper Ellis | Emergency Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2008-05-21 |
| 1326250614 | Beth Ann Ellis | Speech-Language Pathologist | 1980 E 116th St, Carmel, IN 46032-3599 | 2007-05-07 |
| Street Address |
404 HOLSTON DR |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37743-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972657427 | Judith Ann Castainca | Social Worker | 404 Holston Dr, Greeneville, TN 37743-3126 | 2007-01-22 |
| 1417517897 | George Thomas Delbridge IIi | Counselor | 404 Holston Dr, Greeneville, TN 37743-3126 | 2019-06-18 |
| 1326322348 | Stephanie Marie Trent | Social Worker | 404 Holston Dr, Greeneville, TN 37743-3126 | 2011-10-10 |
| 1255611802 | Cheryl Meyers Huggins | Social Worker | 404 Holston Dr, Greeneville, TN 37743-3126 | 2011-08-26 |
| 1508158353 | Wendy Wendy Rice Hensley | Counselor | 404 Holston Dr, Greeneville, TN 37743-3126 | 2011-05-12 |
| 1447557905 | Cindy Ensminger | Marriage & Family Therapist | 404 Holston Dr, Greeneville, TN 37743-3126 | 2011-02-18 |
| 1386979300 | Cynthia Gay Hensley | Social Worker | 404 Holston Dr, Greeneville, TN 37743-3126 | 2009-10-08 |
| 1265669261 | Lisa Ann Shifflett | Counselor | 404 Holston Dr, Greeneville, TN 37743-3126 | 2009-06-17 |
| 1205075520 | Shirley Corrine Garver | Counselor | 404 Holston Dr, Greeneville, TN 37743-3126 | 2009-02-10 |
| 1730330150 | David Campbell | Counselor | 404 Holston Dr, Greeneville, TN 37743-3126 | 2008-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
| 1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
| 1205264058 | Robert Maddox | Social Worker | 421 5th Ave North, Employee Health Clinic, 2nd Floor Central Services Bldg, Nashville, TN 37743 | 2013-10-14 |
| 1336574326 | Cathy J Davis | Occupational Therapy Assistant | 910 West Summer Street, Greeneville, TN 37743 | 2013-09-09 |
| 1659614238 | Person Centered Choices, LLC | In Home Supportive Care | 615 W. Main St., Ste. 204, Greeneville, TN 37743 | 2013-04-01 |
| 1730449943 | Jenilee Stepp | Behavioral Analyst | 1007 West Main Suite B, Greenville, TN 37743 | 2012-05-22 |
| 1083971303 | Jessica Allison Mcafee | Registered Nurse | 401 Takoma Ave., Suite 1, Second Floor, Greeneville, TN 37743 | 2012-04-12 |
| 1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
| 1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
| 1215200118 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2495 Buckingham Road, Greeneville, TN 37743 | 2012-02-23 |
| Find all providers in zip 37743 | ||||
| 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 |
|---|---|---|---|---|
| 1386913192 | Tony Allen Cox | Counselor | 303 Cardinal Ln, Greeneville, TN 37743-6121 | 2011-12-22 |
| 1477566552 | Adrienne Susan Long | Counselor | 401 Holston Dr, Nola Chuckey, Greeneville, TN 37743-3127 | 2006-08-13 |
| 1003829144 | Esther Louise Crum | Counselor | 401 Holston Drive, Nolachuckey Holston Area Mental Health Center, Greeneville, TN 37743 | 2006-08-13 |
| 1457638066 | Sarah Brooks Lumpkin Wyatt | Counselor | 401 Holston Dr, Greeneville, TN 37743-3127 | 2011-11-10 |
| 1508158353 | Wendy Wendy Rice Hensley | Counselor | 404 Holston Dr, Greeneville, TN 37743-3126 | 2011-05-12 |
| 1447570353 | Brenda F Testerman | Counselor | 616 E Church St, Greeneville, TN 37745-5084 | 2010-06-03 |
| 1518287556 | Gina G Baccheschi | Counselor | 616 E Church St, Greeneville, TN 37745-5084 | 2010-06-01 |
| 1669605986 | Carilyn Lee Patrick | Counselor | 401 Holston Dr, Greeneville, TN 37743-3127 | 2009-09-03 |
| 1114150430 | Amy Maria Mullins | Counselor | 401 Holston Dr, Greeneville, TN 37743-3127 | 2009-09-03 |
| 1205075520 | Shirley Corrine Garver | Counselor | 404 Holston Dr, Greeneville, TN 37743-3126 | 2009-02-10 |
| Find all providers in GREENEVILLE | ||||
| City | GREENEVILLE |
| Zip Code | 37743 |
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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.