JEREMY ELLIS (NPI# 1306359393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306359393 |
| Entity Type | Individual |
| Full Name | JEREMY ELLIS |
| Credential | CDCA |
| Practice Address |
48 Private Drive 339 South Point OH 45680-8919 |
| Practice Telephone | 7404511455 |
| Mailing Telephone | 7404511455 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.164482 | OH | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740663905 | Jeremy Ellis | Chiropractor | 4901 Friedman Ln, Fort Worth, TX 76244-6121 | 2015-07-07 |
| 1316403967 | Jeremy Ellis | Case Manager/Care Coordinator | 2626 Charles Dr, Chalmette, LA 70043-3779 | 2019-02-19 |
| 1003369430 | Jeremy Ellis | Counselor | 1501 Yarmouth Ave, Boulder, CO 80304-0564 | 2016-08-02 |
| 1255652525 | Jeremy Michael Ellis | Internal Medicine | 1240 S Cedar Crest Blvd, Suite 410, Allentown, PA 18103-6369 | 2010-06-21 |
| 1568558468 | Jeremy W Ellis | Dentist | 965 S 100 W, #102, Logan, UT 84321-6062 | 2006-10-05 |
| Street Address |
48 PRIVATE DRIVE 339 |
| City | SOUTH POINT |
| State | OH |
| Zip Code | 45680-8919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487165858 | Shannon Noel Ellis | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2017-10-12 |
| 1700494523 | Drew Sanders | Registered Nurse | 48 Private Drive 339, South Point, OH 45680-8919 | 2020-07-17 |
| 1225651763 | Gary R Barton | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2020-05-19 |
| 1699334235 | Amy L Saunders | Case Manager/Care Coordinator | 48 Private Drive 339, South Point, OH 45680-8919 | 2019-06-07 |
| 1629636733 | Shelbie M Brewer | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2019-06-04 |
| 1043770548 | Kevin S Perdue | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2019-03-21 |
| 1083183545 | Katherine Cunningham | Social Worker | 48 Private Drive 339, South Point, OH 45680-8919 | 2018-11-14 |
| 1679055719 | Shelly Dawn Ray | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2018-09-05 |
| 1427530609 | Michael Sean Roberts | Case Manager/Care Coordinator | 48 Private Drive 339, South Point, OH 45680-8919 | 2018-09-04 |
| 1518448018 | Sandra K Adkins | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2018-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021319 | Allison R Nolan Phillips | Nurse Practitioner | 335 Jefferson Ave, South Point, OH 45680 | 2020-07-23 |
| 1275099384 | Jennifer Lynn Ellsworth | Case Manager/Care Coordinator | 178 Private Dr # 19423, South Point, OH 45680 | 2019-02-13 |
| 1639640931 | Kyle Allen Mcknight | Case Manager/Care Coordinator | 178 Private Dr 19423, South Point, OH 45680 | 2018-12-12 |
| 1538639315 | Allyson Faith Fluty | Physical Medicine & Rehabilitation | 335 Jefferson Avenue, South Point, OH 45680 | 2018-12-05 |
| 1205302304 | Marielle Madden | Social Worker | 178 Private Drve 19423, South Point, OH 45680 | 2018-10-17 |
| 1841782018 | Demian Byrne | Counselor | 49 Twsp Rd 365, South Point, OH 45680 | 2018-06-04 |
| 1104317239 | Janie Rose Morris | Case Manager/Care Coordinator | 178 Private Road 29423, South Point, OH 45680 | 2018-05-24 |
| 1043737224 | Fred Timothy Jones | Counselor | 178 Private Drive 19423, South Point, OH 45680 | 2017-08-28 |
| 1225230311 | Janet Sue White | Occupational Therapy Assistant | County Road 1, South Point, OH 45680 | 2007-06-01 |
| 1417161290 | Alicia K Wilson | Home Health Aide | 1035 Country Rd 1, Apt 253, South Point, OH 45680 | 2007-05-10 |
| Find all providers in zip 45680 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841782018 | Demian Byrne | Counselor | 49 Twsp Rd 365, South Point, OH 45680 | 2018-06-04 |
| 1669985479 | Brandi R Workman | Counselor | 49 Township Road 365, South Point, OH 45680-9409 | 2017-11-15 |
| 1487165858 | Shannon Noel Ellis | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2017-10-12 |
| 1821516675 | Leigh Ann Meade-johnson | Counselor | 3896 County Road 15, South Point, OH 45680-7592 | 2017-08-31 |
| 1043737224 | Fred Timothy Jones | Counselor | 178 Private Drive 19423, South Point, OH 45680 | 2017-08-28 |
| 1255857157 | Heather Elaine Myers | Counselor | 17 Private Drive 2089, South Point, OH 45680-7388 | 2017-08-22 |
| 1750807673 | Sarah Rochelle Richardson | Counselor | 32 Private Drive 2089, South Point, OH 45680-7388 | 2017-08-22 |
| 1841818416 | Amber S Spence | Counselor | 49 Township Road 365, South Point, OH 45680-9409 | 2020-07-10 |
| 1225651763 | Gary R Barton | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2020-05-19 |
| 1053941542 | Christopher E Malolepszy | Counselor | 49 Township Road 365, South Point, OH 45680-9409 | 2020-01-23 |
| Find all providers in SOUTH POINT | ||||
| City | SOUTH POINT |
| Zip Code | 45680 |
Please comment or provide details below to improve the information on JEREMY ELLIS.
| 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.