SPENCER L ELLIS (NPI# 1851429294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851429294 |
| Entity Type | Individual |
| Full Name | SPENCER L ELLIS |
| Credential | CASAC |
| Practice Address |
2808 S. Picher St. Joplin MO 64803 |
| Mailing Address |
105 W Crestwood Dr Monett MO 65708-9577 |
| Practice Telephone | 4173477700 |
| Mailing Telephone | 4172353001 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1342 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992821763 | Spencer Allan Ellis | Dentist | 459 Industrial Lane, Oneida, TN 37841-5355 | 2007-03-22 |
| Street Address |
2808 S. PICHER ST. |
| City | JOPLIN |
| State | MO |
| Zip Code | 64803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316140650 | Lowell Kenneth Pottenger | Radiology | 4400 Eden Hall Ln, Joplin, MO 64803 | 2007-06-06 |
| 1295781235 | Douglas L Holtmeier | Anesthesiology | 1102 W 32nd St, Joplin, MO 64803 | 2006-05-25 |
| 1326122961 | Ozark Center | Counselor | 1949 Snowberry Lane, Joplin, MO 64803-2526 | 2006-10-24 |
| 1194810184 | Modaser - Shah | Psychiatry & Neurology | 530 E 34th St., Joplin, MO 64803-2526 | 2006-10-04 |
| 1477872265 | Randy Weiss | Radiology | 5237 Mcclelland Park Rd., Joplin, MO 64803-2785 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909756 | Jennifer Banks | Physical Therapist | 219 W 2nd St, Joplin, MO 64801-2507 | 2020-10-14 |
| 1982202883 | Unearth Potential, LLC | Behavioral Analyst | 1907 S Moffet Ave, Joplin, MO 64804-1851 | 2020-10-13 |
| 1073128724 | Austin Ray Jones | Chiropractor | 212 S Joplin Ave Ste 4, Joplin, MO 64801-2332 | 2020-09-10 |
| 1053925537 | Jill Bryant | Internal Medicine | 2615 E 15th St, Joplin, MO 64804-1006 | 2020-09-02 |
| 1053924985 | Robert Milton Davis Jr. | Counselor | 2428 S Wall Ave, Joplin, MO 64804-2661 | 2020-08-29 |
| 1902419641 | Kasandra Diane Collins | Non-emergency Medical Transport (VAN) | 2809 Santa Fe St, Joplin, MO 64801-8277 | 2020-08-24 |
| 1023620689 | Joni Lynn Baker | Social Worker | 522 W 32nd St Ste 2, Joplin, MO 64804-2533 | 2020-08-17 |
| 1528677200 | Aubri Danielle Ashbacher | Registered Nurse | 1116 S Connor Ave, Joplin, MO 64801-4216 | 2020-07-28 |
| 1871102541 | Abby Zeb | Registered Nurse | 3220 Westberry Sq, Joplin, MO 64804-1586 | 2020-07-28 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| Find all providers in JOPLIN | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588951651 | Sue Ellen Dawson | Counselor | 302 S Florida Ave, Joplin, MO 64801-1650 | 2011-07-08 |
| 1164635322 | Tri Star Counseling, Inc. | Counselor | 712 E 32nd St, Ste 1, Joplin, MO 64804-3906 | 2007-05-07 |
| 1033293485 | Michael Simon Londe | Counselor | 712 E 32nd St Ste 1, Joplin, MO 64804-3968 | 2006-10-24 |
| 1164089413 | Theresa Kay Burwick | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2019-05-22 |
| 1124511217 | Ashley Bennett | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2018-06-13 |
| 1891140810 | Daniel Bingham | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2016-04-27 |
| 1821422502 | Linda Ann Bogue | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-29 |
| 1073947859 | Christopher Sampson | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-28 |
| 1821200775 | Teresa Frey | Counselor | 1230 N Duquesne Rd, Joplin, MO 64801-1509 | 2007-05-04 |
| 1437283835 | Stephen Craig Summers | Counselor | 305 S Virginia Ave, Joplin, MO 64801-2323 | 2007-03-15 |
| Find all providers in JOPLIN | ||||
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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.