JENNIFER JEANNE ELLIS (NPI# 1609180819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609180819 |
| Entity Type | Individual |
| Full Name | JENNIFER JEANNE ELLIS |
| Credential | M.A. |
| Practice Address |
7745 Jonagold Dr Se Grand Rapids MI 49508-7602 |
| Practice Telephone | 6169704636 |
| Mailing Telephone | 8004352197 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2013-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401013557 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487157277 | Jennifer Ellis | Nurse Practitioner | 16101 Ventura Blvd Ste 333, Encino, CA 91436-2516 | 2018-03-17 |
| 1609286194 | Jennifer Ellis | Clinic/Center | 208 Oriole St., Harrisonville, MO 64701-0000 | 2014-05-06 |
| 1376986745 | Jennifer Shermaine Ellis | Counselor | 273 S 118th East Ave, Tulsa, OK 74128-2224 | 2013-04-16 |
| 1316212913 | Jennifer M Ellis | Counselor | 1816 W Point Pike Ste 209, Lansdale, PA 19446-5696 | 2012-03-14 |
| 1639457997 | Jennifer Lynne Ellis | Pharmacist | 333 Westfield St, Silverton, OR 97381-1936 | 2011-08-03 |
| 1851683775 | Jennifer Ellis | Massage Therapist | 180 S Cherry St, Suite F, Monticello, FL 32344-1929 | 2011-05-11 |
| 1952577603 | Jennifer Ellis | Social Worker | 3800 University Ave, Columbus, GA 31907-5609 | 2008-05-02 |
| 1972702819 | Jennifer Lowe Ellis | Preventive Medicine | 1539 Ashland City Rd Ste C, Clarksville, TN 37040-6416 | 2007-07-12 |
| 1083839492 | Jennifer Ellis | Pharmacist | 6111 Ferguson Rd, Oskaloosa, KS 66066-5388 | 2007-04-13 |
| 1255470431 | Jennifer R Ellis | Physician Assistant | 5230 Old Orchard Rd, Skokie, IL 60077-1034 | 2007-02-05 |
| Street Address |
7745 JONAGOLD DR SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1528692779 | Tracy Norcross | Counselor | 2430 Camelot Ct Se, Grand Rapids, MI 49546-6001 | 2020-02-26 |
| 1487202743 | New Beginnings Counseling LLC | Counselor | 104 Ne 3rd St # 200h, Grand Rapids, MN 55744-2869 | 2019-08-29 |
| 1922652098 | Jason Powers | Counselor | 2033 43rd St Se Apt V8, Grand Rapids, MI 49508-8734 | 2019-07-28 |
| 1588225882 | Hope Restored Counseling Center LLC | Counselor | 2180 44th St Se Ste 302, Grand Rapids, MI 49508-5323 | 2019-06-26 |
| 1164089884 | Savanna Marie Vanderberg | Counselor | 1131 Worden St Se, Grand Rapids, MI 49507-1472 | 2019-05-29 |
| 1609432996 | Robb Kornoelje | Counselor | 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503-1891 | 2019-05-13 |
| 1316423841 | Lorie Tensen | Counselor | 456 College Ave Se Apt 1, Grand Rapids, MI 49503-5373 | 2018-07-18 |
| 1548750524 | Katelyn Cable Ma LLP | Counselor | 5001 Plainfield Ave Se, Suite B, Grand Rapids, MI 49525-9349 | 2018-05-15 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
Please comment or provide details below to improve the information on JENNIFER JEANNE 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.