TRACEY ELLIS (NPI# 1316391188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316391188 |
| Entity Type | Individual |
| Full Name | TRACEY ELLIS |
| Credential | B.S.,QMHP-C |
| Practice Address |
212 N Union St Danville VA 24541-1030 |
| Mailing Address |
543 Colonial Dr Collinsville VA 24078-1105 |
| Practice Telephone | 2767329195 |
| Mailing Telephone | 2767329195 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
212 N UNION ST |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215284955 | Oasis Support Services | Community/Behavioral Health | 212 N Union St, Danville, VA 24541-1030 | 2012-08-13 |
| 1922605757 | Clearview Rehabilitation Services, LLC | Clinic/Center | 212 N Union St, Danville, VA 24541-1030 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| 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 |
|---|---|---|---|---|
| 1134730591 | Victoria Lynn Moore | Counselor | 28 Rosedale Ter, Danville, WV 25053-9628 | 2020-08-11 |
| 1710547922 | Christy Abbott Mayes | Counselor | 152 Deer Run Rd, Danville, VA 24540-2862 | 2019-06-19 |
| 1306304944 | Triena Denise Billips | Counselor | 726 Douglas Ave, Danville, IL 61832-6810 | 2019-03-02 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1902320260 | Ryan Holder | Counselor | 197 Long Pond Rd, Danville, NH 03819-3127 | 2017-07-28 |
| 1316494396 | Rachelle Byrnes | Counselor | 304 S. Market St., Danville, OH 43014 | 2016-09-07 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1114290905 | Stephanie Pounds | Counselor | 238 Beavers Mill Rd Apt A, Danville, VA 24540-1579 | 2012-02-09 |
| 1902042369 | East Central Illinois Humanistics, Inc. | Counselor | 500 E. Fairchild St., Suite A, Danville, IL 61832-3117 | 2009-01-06 |
| 1467605113 | Ola Susan Huffmaster Okroglic | Counselor | 730 Boston St, Danville, AR 72833 | 2008-10-28 |
| Find all providers in DANVILLE | ||||
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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.