KELLI MARIE ELLIS (NPI# 1679842785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679842785 |
| Entity Type | Individual |
| Full Name | KELLI MARIE ELLIS |
| Credential | BHRS |
| Practice Address |
19760 E Fox Run Cir Owasso OK 74055 |
| Practice Telephone | 9182749113 |
| Mailing Telephone | 9182749113 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457506958 | Kelli S Ellis | Speech-Language Pathologist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2008-11-25 |
| Street Address |
19760 E FOX RUN CIR |
| City | OWASSO |
| State | OK |
| Zip Code | 74055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1659689248 | Custom Dental of Owasso, Pllc | Dentist | 11501 N. 135th East Ave, Owasso, OK 74055 | 2010-09-17 |
| Find all providers in zip 74055 | ||||
| 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 |
|---|---|---|---|---|
| 1629683727 | Mason Counseling Services | Counselor | 12718 E 77th Pl N, Owasso, OK 74055-7938 | 2020-09-15 |
| 1013454941 | James Schnorrenberg | Counselor | 10100 N Garnett Rd, Owasso, OK 74055-6400 | 2017-01-30 |
| 1073966834 | Peoples Family Counseling | Counselor | 10306 N 138th East Ave Ste 206, Owasso, OK 74055-4665 | 2016-07-18 |
| 1831468594 | Fred Latimer | Counselor | 6829 E 85th St N, Owasso, OK 74055-6964 | 2011-12-23 |
| 1831475003 | Dana K Fitzgerald | Counselor | 12203 E 82nd Pl N, Owasso, OK 74055-6213 | 2011-11-01 |
| 1750663910 | Jason Matthew Thornton | Counselor | 8900 N 134th East Ave, Owasso, OK 74055-2555 | 2011-09-14 |
| 1932433521 | Joy Friend | Counselor | 10310 N 138th East Ave, Suite 101, Owasso, OK 74055-4604 | 2009-09-29 |
| 1396815874 | Patricia Ann Hartmuller | Counselor | 8555 N 117th East Ave Ste 205, Owasso, OK 74055-2199 | 2006-11-09 |
| 1578801361 | Jasmine Wilson | Counselor | 13600 E 86th St N Ste 100, Owasso, OK 74055-8732 | 2013-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039517 | Tommy Craig Smith | Counselor | 3601 N Classen Blvd Ste 102, Oklahoma City, OK 73118-3231 | 2020-09-29 |
| 1881200558 | Nichole Rae Krausch | Counselor | 1507 S Mckenna St, Poteau, OK 74953-5207 | 2020-09-18 |
| 1467068098 | Mckenzie Mcguffee | Counselor | 717 Briarcrest Dr, Midwest City, OK 73110-1619 | 2020-09-18 |
| 1437761004 | Ashley Jane Runnells | Counselor | 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 | 2020-08-17 |
| 1982214292 | Tera Dee Robbins | Counselor | 1002 Cambell Street, Warner, OK 74469 | 2020-08-03 |
| 1619587946 | Chelsey S Kopaddy | Counselor | 1108 Nw Elm Ave, Lawton, OK 73507-4607 | 2020-08-02 |
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1043829278 | Tracy Nanette Mckeown | Counselor | 1777 S Yukon Pkwy, Yukon, OK 73099-4599 | 2020-07-23 |
| 1063039915 | Sarah Nicole Hawthorne | Counselor | 12834 S Old Highway 169, Oologah, OK 74053-3333 | 2020-06-26 |
| 1447876404 | Jessica Shollmier | Counselor | 3703 W 104th St S, Jenks, OK 74037-1927 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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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.