ROBERT DANIEL ELLIS JR.


Address: 715 Pine St, Kannapolis, NC 28081-4215
Phone: 7042248606

ROBERT DANIEL ELLIS JR. (NPI# 1194153882) 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) 1194153882
Entity Type Individual
Full Name ROBERT DANIEL ELLIS JR.
Credential MA, LMFT
Practice Address 715 Pine St
Kannapolis
NC 28081-4215
Mailing Address Po Box 858
Kannapolis
NC 28082-0858
Practice Telephone 7042248606
Mailing Telephone 7042248606
Enumeration Date 2013-10-16
Last Update Date 2013-10-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 1539 NC Behavioral Health & Social Service Providers

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1124006549 Robert William Ellis IIi Psychiatry & Neurology 204 W Grand River Ave, Suite 260, Howell, MI 48843-2299 2006-01-05
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Office Location

Street Address 715 PINE ST
City KANNAPOLIS
State NC
Zip Code 28081-4215

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023678315 Cabarrus Al Holdings, LLC Non-emergency Medical Transport (VAN) 4968 Milestone Ave, Kannapolis, NC 28081 2019-06-18
1245755222 Jennifer Ann Drisker Social Worker 119 West Avenue, Kannapolis, NC 28081 2017-08-10
1720539059 Bonnie Knox Non-emergency Medical Transport (VAN) 902 South Main St, Kannapolis, NC 28081 2016-10-21
1659643880 Jonathan Redmond Occupational Therapy Assistant 7555 Tuckaseegee Rd, Kannapolis, NC 28081 2012-02-03
1245465145 Margot C Dragon Acupuncturist 7560 Crestwood Drive, Kannapolis, NC 28081 2009-05-20
1154542124 Robert Lee Dayvault Jr. Pharmacist 1113 N. Main St., Kannapolis, NC 28081 2007-05-01
1265573745 Cardinal Innovations Healthcare Solutions Community/Behavioral Health 4855 Milestone Avenue, Kannapolis, NC 28081 2007-02-09
1245331016 Eckerd Corporation Durable Medical Equipment & Medical Supplies 135 Dale Earnhardt Boulevard, Kannapolis, NC 28081 2006-09-26
1003844887 Randal G Troutman Chiropractor 1715 S. Main Street, Kannapolis, NC 28081 2006-06-29
1457332728 James M Bowman Pharmacist 1113 N Main St, Kannapolis, NC 28081 2005-11-14
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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
1427568534 Ashley Brooke Hines Marriage & Family Therapist 2308 Coach House Ln, Kannapolis, NC 28081-9415 2017-10-03
1811397011 Cynthia Seaforth Marriage & Family Therapist 119 West Ave, Kannapolis, NC 28081-4332 2014-08-26
1033203732 Ellen Koski Ponton Marriage & Family Therapist 1305 S Cannon Blvd, Kannapolis, NC 28083 2006-10-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346841491 Emily Brokaw Marriage & Family Therapist 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 2020-11-05
1942809926 Anna K Wallace Marriage & Family Therapist 2235 Locksley Woods Dr Apt E, Greenville, NC 27858-5461 2020-10-21
1053918961 Tiana C Lanier-cherry Marriage & Family Therapist 628 Preston Grove Ave, Cary, NC 27513-8464 2020-10-04
1043826589 Lauren Stiegler Marriage & Family Therapist 931 Haybeck Ln, Apex, NC 27523-6192 2020-09-21
1588279889 Deborah Bell Marriage & Family Therapist 119 Sw Maynard Rd, Cary, NC 27511-4472 2020-09-14
1447865217 Rebecca Levy Marriage & Family Therapist Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 2020-09-09
1467066753 Geo'quana W Mcdougal Marriage & Family Therapist 1140 Kildaire Farm Rd Ste 304, Cary, NC 27511-7600 2020-09-03
1689286338 Dina Rose Velazquez Marriage & Family Therapist 500 Lemon Pepper Pl, Wendell, NC 27591-8948 2020-08-23
1023631959 Carolyn Neese Marriage & Family Therapist 4102 N Main St, High Point, NC 27265-1132 2020-05-27
1215550074 Tiffany Guy Marriage & Family Therapist 4219 Springhaven Dr, Charlotte, NC 28269-1629 2020-05-27
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Competitor

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City KANNAPOLIS
Zip Code 28081

Improve Information

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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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