KEITH ELLIS


Address: 11 Ward St, Somerville, MA 02143-4214
Phone: 6176296790

KEITH ELLIS (NPI# 1194166942) 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) 1194166942
Entity Type Individual
Full Name KEITH ELLIS
Practice Address 11 Ward St
Somerville
MA 02143-4214
Mailing Address 40 Locke St Unit 525
Haverhill
MA 01830-5503
Practice Telephone 6176296790
Enumeration Date 2013-07-09
Last Update Date 2013-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers KEITH ELLIS

NPI Name Taxonomy Address Enumeration
1407849441 Keith L Ellis Marriage & Family Therapist 557 Glover Ave, Suite 3, Enterprise, AL 36330-2024 2005-08-24
1144654666 Keith Lawrence Ellis Nurse Practitioner 46 Albion St, Bridgeport, CT 06605-2602 2013-09-03
1972823367 Keith Ellis Physical Therapist 751 E Porter Ave Ste 2, Chesterton, IN 46304-9111 2010-06-08
1356490775 Keith Errett Ellis Family Medicine 1107 E 66th St, Savannah, GA 31404-5701 2007-01-09
1033275896 Keith W. Ellis Internal Medicine 2115 S Fremont Ave, Suite 2300, Springfield, MO 65804-2239 2006-12-28

Office Location

Street Address 11 WARD ST
City SOMERVILLE
State MA
Zip Code 02143-4214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982846291 Lisa Ellen Beechinor Marriage & Family Therapist 11 Ward St, Somerville, MA 02143-4214 2009-04-01
1134678360 Christopher Kouroyen Counselor 11 Ward St, Somerville, MA 02143-4214 2016-09-29
1043769508 Maya Rogers-bursen Counselor 11 Ward St, Somerville, MA 02143-4214 2016-09-26
1093263949 Viviana Arturo Counselor 11 Ward St, Somerville, MA 02143-4214 2016-09-20
1881140788 Caroline Rose Anastasi Student in an Organized Health Care Education/Training Program 11 Ward St, Somerville, MA 02143-4214 2016-08-30
1568820165 Miguel Alba Castella Social Worker 11 Ward St, Somerville, MA 02143-4214 2016-02-10
1750759460 Hilary Leamer Marriage & Family Therapist 11 Ward St, Somerville, MA 02143-4214 2015-09-11
1073981882 Sarah Ann Wessel Student in an Organized Health Care Education/Training Program 11 Ward St, Somerville, MA 02143-4214 2015-09-10
1184005456 Sara Taveras Social Worker 11 Ward St, Suit 2, Somerville, MA 02143-4214 2015-06-12
1407261779 Jessica Goodman Student in an Organized Health Care Education/Training Program 11 Ward St, Somerville, MA 02143-4214 2014-06-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245843598 Sidney Marie Joines Counselor New Washington St, Somerville, MA 02143 2020-08-26
1487295887 Tejasvini Goud Jangam Dentist 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 2019-10-07
1265900658 Latoya Lewis Massage Therapist 343 Medford Street Suite 4b, Somerville, MA 02143 2018-11-05
1982181053 Robert Lafollette Social Worker 61 Inner Belt Rd, Somerville, MA 02143 2018-07-23
1013405471 Roseli De Fatima Schimanski Acupuncturist 10 Clark St #3, Somerville, MA 02143 2018-05-01
1255840070 Maggie Kinser Counselor 366 Somerville Avenue, Somerville, MA 02143 2017-09-25
1497273742 Isabelle Hackett Social Worker 17 Inner Belt Rd, Somerville, MA 02143 2017-09-07
1952824666 Manuel Cantu Counselor 17 Inner Belt Road, Somerville, MA 02143 2017-07-25
1649710963 Shakemia Shaw Licensed Practical Nurse 230 Highland Avenue, Somerville, MA 02143 2017-03-06
1245600501 Libby Vilner Social Worker 12 Tyler St., Somerville, MA 02143 2015-09-30
Find all providers in zip 02143

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477168417 Ss Holdings, LLC Counselor 502 Flippin St, Somerville, TN 38068-1801 2020-09-15
1437799574 Aliya M Gottehrer Cohen Counselor 19 Sewall St Apt 3r, Somerville, MA 02145-1959 2020-01-07
1952875312 Cailin Mateleska Counselor 255 Elm St Ste 201, Somerville, MA 02144-2947 2019-01-17
1952824666 Manuel Cantu Counselor 17 Inner Belt Road, Somerville, MA 02143 2017-07-25
1013312578 Michael Phillips Jr. Counselor 11 Ward St Ste 200, Somerville, MA 02143-4214 2014-10-27
1851708325 Elizabeth Clark Counselor 52 Oxford St, Somerville, MA 02143-1608 2014-07-16
1902236359 Prativa Bhatta Counselor 76 Cross St, Somerville, MA 02145 2013-11-21
1033480017 Andrew W Bunyard Counselor 34 Calvin St, Unit 1, Somerville, MA 02143-4315 2012-01-23
1134401169 Elizabeth Wright Crawford Counselor 28a Cherry St, Apt 1, Somerville, MA 02144-3204 2011-09-15
1699060939 Brandon Michael Hager Counselor 39a Prescott St Apt 3, Somerville, MA 02143-1713 2011-06-15
Find all providers in SOMERVILLE

Competitor

Search similar providers

City SOMERVILLE
Zip Code 02143

Improve Information

Please comment or provide details below to improve the information on KEITH ELLIS.

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.

Trending Searches