MRS. COLLEEN VIOLET ELLIS (NPI# 1245556893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245556893 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN VIOLET ELLIS |
| Credential | MA |
| Practice Address |
195 W 12th Ave Eugene OR 97401 |
| Mailing Address |
687 Cheshire Ave Eugene OR 97402-5060 |
| Practice Telephone | 5417624334 |
| Practice Fax Number | 5416844156 |
| Mailing Telephone | 4168441005 |
| Mailing Fax Number | 5416844156 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 687 Cheshire Ave, Eugene, OR 974025060 | 5413432993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437539681 | Colleen Erin Ellis | Nurse Practitioner | 1080 Walloon Way, Lake Orion, MI 48360-1318 | 2015-06-03 |
| 1407123672 | Colleen Elizabeth Ellis | Speech-Language Pathologist | 20 E Clinton Ave, Haddon Township, NJ 08107-1355 | 2011-11-16 |
| 1295708063 | Colleen Ellis | Social Worker | 2201 Sw 29th St, Topeka, KS 66611 | 2006-02-10 |
| 1225436801 | Colleen Ellis | Nurse Practitioner | 4923 Ogletown Stanton Rd Ste 200, Newark, DE 19713 | 2014-12-12 |
| Street Address |
195 W 12TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713505 | Valerie Baldwin-thomas | Nurse Practitioner | 195 W 12th Ave, Eugene, OR 97401-3408 | 2005-07-08 |
| 1790394534 | Markisha Kiahnna Kenney | Peer Specialist | 195 W 12th Ave, Eugene, OR 97401-3408 | 2020-07-28 |
| 1871129478 | Amber Mcdonald | Counselor | 195 W 12th Ave, Eugene, OR 97401-3408 | 2020-03-16 |
| 1952931719 | Amy E. Zamudio | Community Health Worker | 195 W 12th Ave, Eugene, OR 97401-3408 | 2020-01-21 |
| 1598318230 | Brian Wayne Phifer | Peer Specialist | 195 W 12th Ave, Eugene, OR 97401-3408 | 2019-07-22 |
| 1619534146 | Mary Cameron Leyda | Nurse Practitioner | 195 W 12th Ave, Eugene, OR 97401-3408 | 2019-05-21 |
| 1497212336 | Tonia Seader | Counselor | 195 W 12th Ave, Eugene, OR 97401-3408 | 2019-02-27 |
| 1528524337 | Nicole Anna Lucas | Nurse Practitioner | 195 W 12th Ave, Eugene, OR 97401-3408 | 2019-02-17 |
| 1215408877 | Christian Paul Forrester | Counselor | 195 W 12th Ave, Eugene, OR 97401-3408 | 2018-12-07 |
| 1750850566 | Tui Fern Lindsey | Counselor | 195 W 12th Ave, Eugene, OR 97401-3408 | 2018-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467333 | Paula J. Bloom | Counselor | 66 Club Rd Ste No350, Eugene, OR 97401-2420 | 2020-11-06 |
| 1902406903 | Karen Elizabeth Sanchez Dean | Counselor | 1957 Lemming Ave, Eugene, OR 97401-7231 | 2020-10-28 |
| 1356941629 | Alexandra Suzanne Parker | Counselor | 1600 Valley River Dr Ste 100, Eugene, OR 97401-2141 | 2020-10-27 |
| 1417554247 | Counseling Practitioners LLC | Counselor | 1342 High St, Eugene, OR 97401-3237 | 2020-10-05 |
| 1881203404 | Caitlin Joyce, Lcsw LLC | Counselor | 1860 Willamette St Ste 200, Eugene, OR 97401-4044 | 2020-07-29 |
| 1134754013 | Luis Martinez | Counselor | 1973 Garden Avenue, Eugene, OR 97403 | 2020-03-11 |
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1326600453 | Don Sellers Lcsw LLC | Counselor | 1390 Oak St Ste 1, Eugene, OR 97401-3567 | 2019-06-28 |
| 1235796855 | L. Kay Mcdonald | Counselor | 1776 Millrace Dr Ste 200, Eugene, OR 97403-2536 | 2019-05-20 |
| 1093371130 | Rites of The Heart, LLC | Counselor | 1840 Willamette St, Eugene, OR 97401-4601 | 2019-05-14 |
| Find all providers in EUGENE | ||||
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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.