ELLIS PROFESSIONAL COUNSELING SERVICES, LLC (NPI# 1679941751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679941751 |
| Entity Type | Organization |
| Organization Name | ELLIS PROFESSIONAL COUNSELING SERVICES, LLC |
| Other Organization Name | ALICE ELLIS, LPCC |
| Practice Address |
3651 Shepherdsville Rd Elizabethtown KY 42701-9511 |
| Practice Telephone | 2704015450 |
| Practice Fax Number | 2703600767 |
| Mailing Telephone | 2704015450 |
| Mailing Fax Number | 2703600767 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |
| Authorized Official Name | MS. ALICE A ELLIS (AUTHORIZED AGENT) |
| Authorized Official Telephone | 2704015450 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPCPCC00216428 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100355870 | 05 |
| Other Name | Type Code |
|---|---|
| ALICE ELLIS, LPCC | Doing Business As Name - Organization |
| Street Address |
3651 SHEPHERDSVILLE RD |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-9511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811949142 | Tim Ellis | Social Worker | 3651 Shepherdsville Rd, Elizabethtown, KY 42701-9511 | 2006-05-16 |
| 1053682674 | Alice A Ellis | Counselor | 3651 Shepherdsville Rd, Elizabethtown, KY 42701-9511 | 2012-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041115 | Tamathy Henderson | Counselor | 129b Howell Dr, Elizabethtown, KY 42701-3614 | 2020-07-27 |
| 1326673526 | Natasha Regina Porter | Counselor | 120 Meena Way Apt 3a, Elizabethtown, KY 42701-4826 | 2020-03-08 |
| 1295236149 | Tiffany Bufort | Counselor | 1890 N Market St, Elizabethtown, PA 17022-1131 | 2018-02-26 |
| 1356791750 | Brandy Heavrin | Counselor | 1106 Tunnel Hill Rd # 100, Elizabethtown, KY 42701-8067 | 2016-06-16 |
| 1023463254 | Michelle Marie Davy | Counselor | 40 W Hummelstown St, Elizabethtown, PA 17022-2021 | 2016-04-25 |
| 1235595901 | Terri Dugan | Counselor | 790 N Dixie Ave Ste B100, Elizabethtown, KY 42701-2488 | 2016-01-11 |
| 1770979379 | Erika Del Carmen Matzdorff | Counselor | 202 N Mulberry St, Elizabethtown, KY 42701-1441 | 2015-04-09 |
| 1427447473 | Charlotte Campbell Davis | Counselor | 1111 N Dixie Hwy Ste 2, Elizabethtown, KY 42701-2764 | 2015-01-14 |
| 1528475670 | Stephanie Bridgehouse | Counselor | 978 Milton Grove Rd N, Elizabethtown, PA 17022-8485 | 2014-07-21 |
| 1336470673 | Holly B Daknis | Counselor | 1311 N Dixie Hwy Bldg D, Elizabethtown, KY 42701-2621 | 2010-01-27 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on ELLIS PROFESSIONAL COUNSELING SERVICES, LLC.
| 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.