LAURA LYNN ELLSWORTH (NPI# 1174683981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174683981 |
| Entity Type | Individual |
| Full Name | LAURA LYNN ELLSWORTH |
| Credential | MA, LMHC |
| Practice Address |
929 S Kenmore Dr Evansville IN 47714-7514 |
| Mailing Address |
101 East Jennings St B Newburgh IN 47630 |
| Practice Telephone | 8127607722 |
| Mailing Telephone | 8127607722 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39000307A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CAQH PROVIDER ID | 11659278 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| Street Address |
929 S KENMORE DR |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-7514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366066805 | Jacob Hartz | Counselor | 8739 New Harmony Rd, Evansville, IN 47720-8909 | 2020-06-01 |
| 1720559057 | New Visions Counseling, LLC | Counselor | 201 Nw 4th St Ste 107, Evansville, IN 47708-1356 | 2018-12-16 |
| 1992208821 | Elizabeth Ann Berneking | Counselor | 8805 Camellia Dr, Evansville, IN 47711-1003 | 2018-03-16 |
| 1861786683 | Isaac Benjamin Martin | Counselor | 6008 Berry Ln, Evansville, IN 47710-4381 | 2011-06-09 |
| 1457654915 | Christopher Andy Vaught | Counselor | 1900 Stringtown Rd, Suite 208c, Evansville, IN 47711-4522 | 2010-12-06 |
| 1225290661 | Jeffrey M Stucke | Counselor | 909a S Kenmore Dr, Evansville, IN 47714-7514 | 2008-06-26 |
| 1588758320 | Christina Marie Hagan | Counselor | 600 N Weinbach Ave Ste 720, Evansville, IN 47711-5977 | 2006-10-03 |
| 1255436754 | Luzio & Associates Behavioral Services, Inc. | Counselor | 4411 Washington Ave Ste 300, Evansville, IN 47714-0805 | 2006-09-13 |
| 1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
| 1467496745 | B-one Counseling Inc | Counselor | 709 Se 2nd St, Evansville, IN 47713-1109 | 2006-06-16 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
Please comment or provide details below to improve the information on LAURA LYNN ELLSWORTH.
| 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.