EVELYN ELLIS (NPI# 1770923997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770923997 |
| Entity Type | Individual |
| Full Name | EVELYN ELLIS |
| Credential | MA, LMFT |
| Practice Address |
5200 Park Rd Suite 219 Charlotte NC 28209-3650 |
| Practice Telephone | 7049953380 |
| Mailing Telephone | 7049953380 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1205 | NC | Behavioral Health & Social Service Providers |
| Street Address |
5200 PARK RD SUITE 219 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316924467 | Marion Denise Kuppinger | Counselor | 5200 Park Rd, Suite 119, Charlotte, NC 28209-3650 | 2005-12-29 |
| 1164085684 | Conectando Familias Sdg, Inc. | Social Worker | 5200 Park Rd, Charlotte, NC 28209-3650 | 2019-04-19 |
| 1770017071 | Elizabeth Anne Kriz | Massage Therapist | 5200 Park Rd, #235, Charlotte, NC 28209-3650 | 2017-04-13 |
| 1144764838 | Montina Myers-galloway | Counselor | 5200 Park Rd, Suite 119, Charlotte, NC 28209-3650 | 2016-12-14 |
| 1205295011 | Burkholder Wellness, Pllc | Clinic/Center | 5200 Park Rd, Suite 207-d, Charlotte, NC 28209-3650 | 2016-02-22 |
| 1578922035 | Rose Richardson | Marriage & Family Therapist | 5200 Park Rd, Suite 219, Charlotte, NC 28209-3650 | 2016-02-12 |
| 1124484621 | Pathways To Growth Counseling, Pllc | Clinic/Center | 5200 Park Rd, Suite 236, Charlotte, NC 28209-3650 | 2016-01-13 |
| 1437498847 | Stacey Michelle Cruz | Counselor | 5200 Park Rd, Charlotte, NC 28209-3650 | 2013-02-05 |
| 1184987778 | Charlotte Counseling Group | Counselor | 5200 Park Rd, Suit 111, Charlotte, NC 28209-3650 | 2012-06-19 |
| 1356621403 | Nancy Fuller | Acupuncturist | 5200 Park Rd, Suite 111, Charlotte, NC 28209-3650 | 2011-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1215550074 | Tiffany Guy | Marriage & Family Therapist | 4219 Springhaven Dr, Charlotte, NC 28269-1629 | 2020-05-27 |
| 1013557867 | Sandra May Kamara | Marriage & Family Therapist | 6601 Barrington Dr, Charlotte, NC 28215-3401 | 2020-01-09 |
| 1053958868 | Karen M Quigley | Marriage & Family Therapist | 6000 Fairview Rd Fl 12, Charlotte, NC 28210-2224 | 2019-11-30 |
| 1386288421 | Tiffany De Leon | Marriage & Family Therapist | 13735 Steele Creek Rd, Charlotte, NC 28273-6841 | 2019-11-01 |
| 1841833761 | Sweeneypsych, Pllc | Marriage & Family Therapist | 811 Central Ave Ste 8, Charlotte, NC 28204-2015 | 2019-10-23 |
| 1144871476 | Linda Joann Mullinix | Marriage & Family Therapist | 3835 W W T Harris Blvd, Charlotte, NC 28269-3500 | 2019-09-27 |
| 1497316012 | Shantel Lynette Smythe | Marriage & Family Therapist | 5700 Executive Center Dr Ste 200, Charlotte, NC 28212-8833 | 2019-06-25 |
| 1073174975 | Monica Pena | Marriage & Family Therapist | 3837 Beauvista Dr, Charlotte, NC 28269-1090 | 2019-06-22 |
| 1669944427 | Monique Moreno Aquino | Marriage & Family Therapist | 1118 Skyview Rd, Charlotte, NC 28208-6249 | 2018-12-18 |
| Find all providers in CHARLOTTE | ||||
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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.