MS. DANIELLE PROMISE ELLIS (NPI# 1275098899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275098899 |
| Entity Type | Individual |
| Full Name | MS. DANIELLE PROMISE ELLIS |
| Credential | AS, CADC I |
| Practice Address |
557 Nw Monroe Ave Corvallis OR 97330-4721 |
| Practice Telephone | 5417663540 |
| Practice Fax Number | 5417663543 |
| Mailing Telephone | 5417663540 |
| Mailing Fax Number | 5417663543 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18-01-44 | OR | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MHACBO | 18-01-44 | 01 |
| OR | 18-01-44 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799400 | Danielle Elizabeth Ellis | Behavioral Analyst | 32 W 33rd St Fl 2, Bayonne, NJ 07002-3909 | 2020-01-08 |
| 1508229923 | Danielle Ellis | Licensed Practical Nurse | 4412 Airport Hwy Apt 32, Toledo, OH 43615-7087 | 2016-04-02 |
| 1821347006 | Danielle Renee Ellis | Specialist/Technologist | 4223 Saddlecreek Court, Auburn, GA 30011 | 2012-09-05 |
| 1053507376 | Danielle Christine Ellis | Counselor | 6300 West Loop S Ste 575, Bellaire, TX 77401-2913 | 2007-09-20 |
| 1740817469 | Danielle Imani Ellis | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2020-03-24 |
| 1124651401 | Danielle Ellis | Counselor | 755 N Roop St Ste 101, Carson City, NV 89701-3107 | 2020-02-14 |
| 1164981148 | Danielle Ellis | Counselor | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2019-03-18 |
| 1629570536 | Danielle Ellis | Social Worker | 4031 W Dayton St, Mchenry, IL 60050-8377 | 2018-03-07 |
| 1588951636 | Danielle Erwin Ellis | Optometrist | 535 Chestnut St, Coshocton, OH 43812-1210 | 2011-07-08 |
| Street Address |
557 NW MONROE AVE |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467512335 | Bentn County | Counselor | 557 Nw Monroe Ave, Corvallis, OR 97330-4721 | 2006-12-11 |
| 1114431913 | Melissa Lynn Lawson | Counselor | 557 Nw Monroe Ave, Corvallis, OR 97330-4721 | 2017-12-01 |
| 1679820997 | Lelonni Leeper | Technician | 557 Nw Monroe Ave, Corvallis, OR 97330-4721 | 2012-08-06 |
| 1194082651 | Eric C Anderson | Technician | 557 Nw Monroe Ave, Corvallis, OR 97330-4721 | 2012-04-20 |
| 1033476254 | Michael Longpre Jones | Counselor | 557 Nw Monroe Ave, Corvallis, OR 97330-4721 | 2012-04-12 |
| 1841584240 | Dusty Holler | Technician | 557 Nw Monroe Ave, Corvallis, OR 97330-4721 | 2011-06-02 |
| 1396055158 | Kenneth M Bakondi | Counselor | 557 Nw Monroe Ave, Corvallis, OR 97330-4721 | 2010-10-14 |
| 1437472727 | Marcus J Benton | Counselor | 557 Nw Monroe Ave, Corvallis, OR 97330-4721 | 2010-03-01 |
| 1316160294 | Ruthyn M Geer | Counselor | 557 Nw Monroe Ave, Corvallis, OR 97330-4721 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356857858 | Trisha Lorraine Cunningham | Counselor | 628 Nw 2nd St, Corvallis, OR 97330-6446 | 2017-12-19 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1982055299 | Drew Silverman | Counselor | 5055 Ne Elliott Cir, Suite 80, Corvallis, OR 97330-9008 | 2016-06-28 |
| 1225429723 | Robert B Merwin Jr. | Counselor | 129 Nw 4th St Ste 100, Corvallis, OR 97330-4770 | 2015-02-05 |
| 1376853754 | Hilary Robin Cadish | Counselor | 557 Nw Monroe Street, Corvallis, OR 97330 | 2010-10-19 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1376875740 | Michelle Marie Bachand | Counselor | 230 Sw 3rd St Ste 307, Corvallis, OR 97333-4652 | 2010-02-09 |
| 1679707830 | Isabella Vickers Knight | Counselor | 425 Sw Madison Ave, Suite J-4, Corvallis, OR 97333-4799 | 2009-05-03 |
| 1295975597 | Ildiko M Overbay | Counselor | 760 Sw Madison Ave Ste 204, Corvallis, OR 97333-4590 | 2009-02-26 |
| 1235341918 | Community Outreach, Inc | Counselor | 865 Nw Reiman Ave, Corvallis, OR 97330 | 2007-05-04 |
| Find all providers in CORVALLIS | ||||
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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.