MECHELLE RENEE ELLIS (NPI# 1316332539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316332539 |
| Entity Type | Individual |
| Full Name | MECHELLE RENEE ELLIS |
| Credential | MA |
| Practice Address |
12055 W 2nd Pl Lakewood CO 80228-1506 |
| Mailing Address |
4851 Independence St Suite 200 Wheat Ridge CO 80033-6715 |
| Practice Telephone | 3034325354 |
| Mailing Telephone | 3034250300 |
| Mailing Fax Number | 3034325071 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | NLC0012537 | CO | Behavioral Health & Social Service Providers |
| Street Address |
12055 W 2ND PL |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669495404 | Margaret Lackey | Psychiatry & Neurology | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2006-07-25 |
| 1699311803 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2019-11-22 |
| 1649826215 | Valerie K Damron | Technician, Other | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2019-08-10 |
| 1083132559 | Lauren Fouch | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-09-06 |
| 1487170692 | Anastasia Soroka | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-08-18 |
| 1447780994 | Alison West | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-06-18 |
| 1801332655 | Rachael Saffa | Social Worker | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-01-17 |
| 1942744388 | Paula Prentice | Psychologist | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-12-04 |
| 1326581257 | Theresa Tomich | Student in an Organized Health Care Education/Training Program | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-11-25 |
| 1376092080 | Jessica Way | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228 | 2016-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637572 | Carolyn Walker | Counselor | 8805 W 14th Ave Ste 200, Lakewood, CO 80215-4848 | 2020-10-19 |
| 1538766480 | George Sutherland | Counselor | 857 Fenton St, Lakewood, CO 80214-2437 | 2020-10-05 |
| 1144839929 | Hollowell Counseling LLC | Counselor | 1619 Onondaga Ave, Lakewood, OH 44107-4310 | 2020-07-28 |
| 1891349130 | Tiffany Montano | Counselor | 1597 Cole Blvd Ste 250, Lakewood, CO 80401-3417 | 2019-07-25 |
| 1528536943 | Mariah Rossel | Counselor | 8211 Rocky Mountain Dr, Lakewood, CO 80214-5546 | 2018-11-03 |
| 1033686688 | Dmitra R Danilenko-dixon | Counselor | 12567 W Cedar Dr Ste 100, Lakewood, CO 80228-2041 | 2018-10-31 |
| 1093294779 | Guided Perspectives LLC | Counselor | 15644 Madison Ave Ste 208, Lakewood, OH 44107-5622 | 2018-08-13 |
| 1467955138 | Deanna Adriano | Counselor | 7873 W Mansfield Pkwy Unit 2-104, Lakewood, CO 80235-3327 | 2018-03-08 |
| 1568964773 | Maria A Jonas | Counselor | 700 Lakewood Ave, Lakewood, NJ 08701 | 2018-03-03 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| Find all providers in LAKEWOOD | ||||
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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.