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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 1539 | NC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881945566 | Robert Ray Ellis | Military Health Care Provider | 10194 Cottage Ct, Diberville, MS 39540-4744 | 2012-09-21 |
1336392224 | Robert Ellis | Specialist/Technologist, Other | 8008 Blue Hole Ct, Mckinney, TX 75070-4896 | 2008-10-23 |
1124274394 | Robert Stephen Ellis | Dentist | 1434 - Parker Drive, Laurel, MS 39440-1942 | 2008-08-07 |
1083810709 | Robert Haig Ellis | Internal Medicine | 2412 Brookwood Drive, Fort Collins, CO 80525-1908 | 2007-06-21 |
1265534697 | Robert Frank Ellis | Obstetrics & Gynecology | 770 Elysian Way, Deerfield, IL 60015-4500 | 2006-09-05 |
1083724843 | Robert Lynn Ellis | Dentist | 143 1/2 E Main, Rigby, ID 83442 | 2006-08-30 |
1932111739 | Robert George Ellis | Radiology | 1204 E 29th St, Tulsa, OK 74114-3907 | 2006-08-12 |
1366461337 | Robert Earle Ellis | Counselor | 273 Front St, Weymouth, MA 02188-2202 | 2006-07-19 |
1124006549 | Robert William Ellis IIi | Psychiatry & Neurology | 204 W Grand River Ave, Suite 260, Howell, MI 48843-2299 | 2006-01-05 |
1689185936 | Robert Brian Ellis | Audiologist | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2017-10-13 |
Street Address |
715 PINE ST |
City | KANNAPOLIS |
State | NC |
Zip Code | 28081-4215 |
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 |
Find all providers in zip 28081 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | KANNAPOLIS |
Zip Code | 28081 |
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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.