MS. MARLENE S ELLIS (NPI# 1619008505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619008505 |
| Entity Type | Individual |
| Full Name | MS. MARLENE S ELLIS |
| Credential | LISW |
| Practice Address |
212 S Park Ave Fremont OH 43420-2954 |
| Practice Telephone | 4193324722 |
| Practice Fax Number | 4193348590 |
| Mailing Telephone | 4193324722 |
| Mailing Fax Number | 4193348590 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
I-0007955 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA | 5889631 | 01 |
| OH | ANTHEM | 000000372656 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578934436 | Marlene Ellis | Case Manager/Care Coordinator | 316 2nd Ave W, Williston, ND 58801-5218 | 2015-10-16 |
| 1205891652 | Marlene D. Ellis | Nurse Practitioner | 10 Mcdowell St, Asheville, NC 28801-4104 | 2006-04-19 |
| Street Address |
212 S PARK AVE |
| City | FREMONT |
| State | OH |
| Zip Code | 43420-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
| 1558886051 | Kortney Blair Potridge | Homemaker | 1718 Buckland Avenue, Fremont, OH 43420 | 2017-08-07 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1033574587 | Alyssa Dickman | Physical Therapy Assistant | 1310 Chestnut St, Fremont, OH 43420 | 2015-12-29 |
| 1437566734 | Michael Allen Koebel | Registered Nurse | 1728 Oak Harbor Rd, Fremont, OH 43420 | 2014-07-18 |
| 1598183774 | Harry D. Burger | Dentist | 567 Bartson Rd., Fremont, OH 43420 | 2014-04-03 |
| 1750706636 | Lori Fisher | Registered Nurse | 500 W. State St., Suite A, Fremont, OH 43420 | 2014-02-28 |
| 1699113001 | Cora Renea Minich | Massage Therapist | 510 Court Street, Fremont, OH 43420 | 2013-06-07 |
| 1477850071 | Parschauer Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 126 S. Front St, Fremont, OH 43420 | 2011-02-16 |
| 1316260839 | Marla D Carlisle | Physician Assistant | 605 Third Avenue, Suite B, Fremont, OH 43420 | 2010-03-11 |
| Find all providers in zip 43420 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101279 | Compass Behavioral Health, LLC | Counselor | 915 Croghan St, Fremont, OH 43420-2337 | 2020-07-21 |
| 1447897293 | Brandon Tomlinson | Counselor | 101 Norbert Dr, Fremont, OH 43420-9296 | 2019-11-27 |
| 1881166973 | Erin Kathleen Wegener | Counselor | 1835 E Military Ave Ste 115, Fremont, NE 68025-5477 | 2018-12-29 |
| 1417442997 | Bingqing Cui | Counselor | 39210 State St Ste 109, Fremont, CA 94538-1456 | 2018-06-26 |
| 1235629940 | Sharon Campbell | Counselor | 3100 Mowry Ave Ste 303, Fremont, CA 94538-1531 | 2018-05-17 |
| 1013447473 | Alicia Michelle Falcone | Counselor | 424 W 23rd St Ste D, Fremont, NE 68025-1211 | 2017-06-18 |
| 1194259853 | Fang Xie | Counselor | 39155 Liberty St. Suite E500, Fremont, CA 94538 | 2017-04-19 |
| 1184078974 | Jacqueline Rezac | Counselor | 424 W 23rd St Ste E, Fremont, NE 68025-1211 | 2016-04-18 |
| 1669848081 | Orchid of Hope Counseling | Counselor | 1835 E Military Ave Ste 129, Fremont, NE 68025-5477 | 2015-08-19 |
| 1336539626 | Rob A. Owens | Counselor | 230 E 22nd St Ste 4, Fremont, NE 68025-2661 | 2015-01-26 |
| Find all providers in FREMONT | ||||
Please comment or provide details below to improve the information on MS. MARLENE S 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.