KRISTEN ELLIS


Address: 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200
Phone: 8664815361

KRISTEN ELLIS (NPI# 1174996136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174996136
Entity Type Individual
Full Name KRISTEN ELLIS
Practice Address 170 Wilkerson Ave Ste A-d
Perris
CA 92570-2200
Mailing Address 170 Wilkerson Ave Ste A&b
Perris
CA 92570-2200
Practice Telephone 8664815361
Mailing Telephone 8664815361
Enumeration Date 2015-11-12
Last Update Date 2019-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 104462 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
9990 County Farm Rd, Suite 6, Riverside, CA 925033542 8664815361

Other Providers KRISTEN ELLIS

NPI Name Taxonomy Address Enumeration
1386275774 Kristen Ellis Dietitian, Registered W Veterans Blvd, Tucson, AZ 85723-0001 2020-02-04
1104310036 Kristen Ellis Dietitian, Registered 2121 Baypointe Dr, Newport Beach, CA 92660-8518 2018-06-14
1255806626 Kristen Ellis Behavioral Analyst 9755 Lincoln Village Dr, Sacramento, CA 95827-3334 2018-10-11
1417491275 Kristen Ellis Chiropractor 7487 N Clio Rd, Mount Morris, MI 48458-8227 2016-12-14
1881026623 Kristen Elizabeth Ellis Pharmacist 4040 N Oracle Rd, Tucson, AZ 85705-2720 2013-08-03
1851421879 Kristen Ellis Case Manager/Care Coordinator 105 Loudon Rd, Concord, NH 03301-5601 2007-03-07

Office Location

Street Address 170 WILKERSON AVE STE A-D
City PERRIS
State CA
Zip Code 92570-2200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184951022 Michelle Alice Creed Counselor 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 2009-11-13
1043854060 Bill Thomas Dailey Peer Specialist 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 2019-11-01
1326606518 Jesse Lee Murray Peer Specialist 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 2019-06-03
1548727670 Marie Lampi Peer Specialist 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 2019-02-25
1376028258 Katy Mckee Counselor 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 2018-09-26
1265915821 Rachael Diane Ryan Counselor 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 2018-09-10
1194136481 Andrea Contreras Counselor 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 2014-05-08
1780020727 Rachael Ann Gelgand Counselor 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 2013-05-17
1659616266 Recovery Innovations, Inc Community/Behavioral Health 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 2012-12-07
1467734590 Christopher Lee Tieffer Counselor 170 Wilkerson Ave Ste A-d, Perris, CA 92570-2200 2011-09-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659861185 Derriea Mcglothern Specialist/Technologist 23126 Rider St, Perris, CA 92570 2018-05-10
1790235109 Jeromy Ford Counselor 226 W. 4th St, Perris, CA 92570 2016-10-10
1699196485 Taniya Sweeney Community/Behavioral Health 413 South B Strret, Perris, CA 92570 2013-12-20
1790091718 Josh B Neal Counselor 827 Georgiana Ct, Perris, CA 92570 2010-08-27
1427370915 Riverside Recovery Resources Clinic/Center 13911 Perris Blvd, Perris, CA 92570 2010-02-24
1144471939 Three Angels Medical Professional Corporation Internal Medicine 180 East 4th St, Suite B and C, Perris, CA 92570 2008-10-10
1205091790 Jill None Demos Counselor 24050 Christmas Tree Lane, Perris, CA 92570 2008-07-23
1598929341 Jacqueline Anne Rockwell Counselor 555 Perris Blvd, Peris, CA 92570 2008-07-10
1053584128 Perris Union High School District Local Education Agency (LEA) 755-b North A Street, Perris, CA 92570 2008-04-09
1477735215 Christianne Nelson Case Management 308 E San Jacinto Avenue, Perris, CA 92570 2007-12-04
Find all providers in zip 92570

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679958151 Marisela Adams Marriage & Family Therapist 2531 Redlands Ave, Perris, CA 92571-4021 2015-07-24
1811256233 Yoana Armendariz Marriage & Family Therapist 764 Ramona Expy Ste C, Perris, CA 92571-9716 2012-05-04
1477722726 Carmelo Isales Jr. Marriage & Family Therapist 126 Avocado Ave Ste 103, Perris, CA 92571-2605 2008-02-20
1902008071 Joseph J Kozinski Marriage & Family Therapist 21252 Onaknoll Dr, Perris, CA 92570-9565 2007-06-01
1023137106 Robert Stanley Bermudez Jr. Marriage & Family Therapist 555 N. Perris Blvd., Perris, CA 92571 2007-03-28
1538202874 Joselin G. Aldus Marriage & Family Therapist 1688 N Perris Blvd # L7-11, Perris, CA 92571-4709 2007-02-15
1730221458 Yolanda Velazquez Fullinwider Marriage & Family Therapist 1688 N. Perris Blvd. Ste. L7-11, Perris, CA 92571 2007-02-12
1255495115 Beverly Ann Mckeddie Marriage & Family Therapist 2560 N Perris Blvd Ste N, Perris, CA 92571-3251 2006-12-21
1447340526 Danielle Marie Gross Marriage & Family Therapist 555 N Perris Blvd, Building A, Perris, CA 92571-2811 2006-10-13
1003434366 Kimara Melissa Simms Marriage & Family Therapist 170 Wilkerson Ave Ste C&d, Perris, CA 92570-2200 2020-07-13
Find all providers in PERRIS

Competitor

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City PERRIS
Zip Code 92570

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Dataset Information

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.

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