MS. DEBORAH LYNNE ELLIS (NPI# 1134342405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134342405 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH LYNNE ELLIS |
| Practice Address |
1630 E Shaw Ave Ste 150 Fresno CA 93710-8105 |
| Practice Telephone | 5592488550 |
| Practice Fax Number | 5592488555 |
| Mailing Telephone | 5592488550 |
| Mailing Fax Number | 5592488555 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1922319961 | Deborah Baron Ellis | Social Worker | 157 East 86th Street, Neighborhood Coalition for Shelter, New York, NY 10028 | 2010-06-24 |
| 1215974704 | Deborah A Ellis | Psychologist | Upc Children's Hospital, 3901 Beaubien 4th Floor Carls Bldg, Detroit, MI 48201 | 2006-06-01 |
| 1275839979 | Deborah A Ellis | Health Educator | 301 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9552 | 2011-01-28 |
| 1285893529 | Deborah T Ellis | Speech-Language Pathologist | 2525 Centerville Rd, Dallas, TX 75228-2634 | 2008-06-02 |
| 1376746883 | Deborah Marie Ellis | Registered Nurse | 1225 E Fort Union Blvd, Ste 215, Cottonwood Heights, UT 84047-1889 | 2007-06-11 |
| 1265592869 | Deborah W Ellis | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2006-12-12 |
| 1740292390 | Deborah S Ellis | Social Worker | 1130 Ten Rod Rd, Suite D-104, North Kingstown, RI 02852-4161 | 2006-08-12 |
| 1427098441 | Deborah R Ellis | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-06-07 |
| Street Address |
1630 E SHAW AVE STE 150 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-8105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427181924 | Peter Anthony Gonzalez | Counselor | 1630 E Shaw Ave, Suite 150, Fresno, CA 93710-8105 | 2007-03-13 |
| 1033773486 | Heidi Nguyen | Marriage & Family Therapist | 1630 E Shaw Ave, Fresno, CA 93710-8105 | 2019-04-30 |
| 1689146557 | Makaila Perez-pintarich | Case Manager/Care Coordinator | 1630 E Shaw Ave, Fresno, CA 93710-8105 | 2018-12-17 |
| 1801363775 | Lacey Angelina Smith | Speech-Language Pathologist | 1630 E Shaw Ave, Fresno, CA 93710-8105 | 2018-10-30 |
| 1700376985 | Gabrielle Anna Calemmo | Case Manager/Care Coordinator | 1630 E Shaw Ave, Fresno, CA 93710-8105 | 2018-05-14 |
| 1831637057 | Tanisha White | Social Worker | 1630 E Shaw Ave, #150, Fresno, CA 93710-8105 | 2017-02-08 |
| 1376907295 | Joseph Vallejos | Behavioral Analyst | 1630 E Shaw Ave, Ste. 190, Fresno, CA 93710-8105 | 2016-04-06 |
| 1215391131 | Kacie Anne Robles | Behavioral Analyst | 1630 E Shaw Ave, Ste. 190, Fresno, CA 93710-8105 | 2016-04-06 |
| 1750745675 | Tatum Winslow | Behavioral Analyst | 1630 E Shaw Ave, Ste. 190, Fresno, CA 93710-8105 | 2016-04-06 |
| 1497117998 | Melisa Santacruz | Case Manager/Care Coordinator | 1630 E Shaw Ave, 150, Fresno, CA 93710-8105 | 2016-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| 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 |
|---|---|---|---|---|
| 1710592621 | Marcus Zachary, D.o., P.C. | Counselor | 7111 N Fresno St Ste 200, Fresno, CA 93720-2959 | 2020-09-09 |
| 1871110932 | The Fresno Center | Counselor | 4891 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-07-06 |
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1679123723 | Sandy Ounmano | Counselor | 4855 E King Cyn Rd, Fresno, CA 93727-3811 | 2019-09-19 |
| 1609422815 | Alicia Becton | Counselor | 7110 W San Bruno Ave, Fresno, CA 93723-4069 | 2019-08-13 |
| 1053963645 | Stephanie Elizabeth Trevino | Counselor | 5162 E Braly Ave, Fresno, CA 93727-5906 | 2019-07-12 |
| 1386204691 | Giovanni Ismael Arreaga | Counselor | 4411 E Kings Canyon Rd # 310, Fresno, CA 93702-3604 | 2019-06-18 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1235607409 | Sandra Elizabeth Valle | Counselor | 496 South Barton Avenue, Fresno, CA 93750-0001 | 2018-11-06 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on MS. DEBORAH LYNNE 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.