STEPHANIE JO ELLIS (NPI# 1942826789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942826789 |
| Entity Type | Individual |
| Full Name | STEPHANIE JO ELLIS |
| Practice Address |
1340 Mount Pleasant St Burlington IA 52601-2623 |
| Practice Telephone | 3197536567 |
| Practice Fax Number | 3197530703 |
| Mailing Telephone | 3197536567 |
| Mailing Fax Number | 3197530703 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102901 | Stephanie Nicole Ellis | Speech-Language Pathologist | 1101 Museum Rd Ste 7, Conway, AR 72032-8580 | 2020-01-02 |
| 1992147219 | Stephanie Rachel Ellis | Pharmacist | 318 Mall Blvd Ste 100, Savannah, GA 31406-4700 | 2013-07-28 |
| 1609914217 | Stephanie Clark Ellis | Acupuncturist | 110 Creek Locks Rd, Rosendale, NY 12472-9678 | 2007-02-03 |
| 1922617224 | Stephanie Lynn Ellis | Nurse Practitioner | 232 Green St, Williamston, NC 27892-2000 | 2020-07-23 |
| 1497393268 | Stephanie Knight Ellis | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2019-12-12 |
| 1992351209 | Stephanie Ellis | Nurse Practitioner | 110 Hidden Valley Rd, Mc Murray, PA 15317-2685 | 2019-08-13 |
| 1174007314 | Stephanie I Ellis | Social Worker | 555 Towner St, Ypsilanti, MI 48198-5723 | 2018-09-24 |
| 1760969604 | Stephanie Ellis | Behavior Technician | 1363 Douglas Dr, Traverse City, MI 49696-8980 | 2018-07-24 |
| 1689161879 | Stephanie Ellis | Pharmacist | 7393 Jackson Dr, San Diego, CA 92119-2316 | 2018-04-13 |
| 1982117362 | Stephanie Ann Ellis | Social Worker | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2017-11-08 |
| Street Address |
1340 MOUNT PLEASANT ST |
| City | BURLINGTON |
| State | IA |
| Zip Code | 52601-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013938091 | Alcohol & Drug Dependency Services | Substance Abuse Rehabilitation Facility | 1340 Mount Pleasant St, Burlington, IA 52601-2623 | 2006-07-22 |
| 1295352508 | Abigail Louise Graham Heaton | Counselor | 1340 Mount Pleasant St, Burlington, IA 52601-2623 | 2020-07-02 |
| 1407473739 | Allie Logan Hunter | Counselor | 1340 Mount Pleasant St, Burlington, IA 52601-2623 | 2020-07-02 |
| 1306303623 | Jessica Hartz | Counselor | 1340 Mount Pleasant St, Burlington, IA 52601-2623 | 2019-02-22 |
| 1093228041 | Travis Turner | Counselor | 1340 Mount Pleasant St, Burlington, IA 52601-2623 | 2017-11-13 |
| 1558874578 | Rachel Nellora Kimble | Counselor | 1340 Mount Pleasant St, Burlington, IA 52601-2623 | 2017-11-13 |
| 1528595741 | Nicolas Foss | Counselor | 1340 Mount Pleasant St, Burlington, IA 52601-2623 | 2017-05-18 |
| 1861929192 | Amy J. Gerveler | Counselor | 1340 Mount Pleasant St, Burlington, IA 52601-2623 | 2017-05-17 |
| 1467845263 | Daniel Kenel | Counselor | 1340 Mount Pleasant St, Burlington, IA 52601-2623 | 2015-03-18 |
| 1205237641 | Richard Swanson | Psychologist | 1340 Mount Pleasant St, Burlington, IA 52601-2623 | 2014-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
| 1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
| 1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
| 1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
| Find all providers in zip 52601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312872 | Ellen Barton | Counselor | Skagit Community Detox, 201 Lila Lane, Burlington, WA 98233 | 2020-06-25 |
| 1285257899 | Kimberly T Scott | Counselor | 1870 Dixon Swimming Pool Rd, Burlington, NC 27217-8587 | 2020-05-19 |
| 1700412624 | Amanda K Parnell | Counselor | 260 W Davis St Ste D, Burlington, NC 27215-3707 | 2020-03-23 |
| 1770120594 | Shawn Rhodes | Counselor | 1000-t High St, Burlington, NJ 08016-4633 | 2019-12-01 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1518517226 | Harold Mcnerney | Counselor | 355 10th St, Burlington, CO 80807-1820 | 2019-09-14 |
| 1083127294 | Janice E Lee | Counselor | 331 Hale St, Burlington, NC 27217-3114 | 2017-11-09 |
| 1679092027 | Emilee Elizabeth Mason | Counselor | 614 Peterson Rd # 200, Burlington, WA 98233-2606 | 2017-09-18 |
| 1366960395 | Sarah Victoria Steenbeek | Counselor | 71 Harrison Ave, Burlington, VT 05401-5240 | 2017-08-30 |
| 1376066423 | Jonathan Ayers | Counselor | 150 Cherry St, Burlington, VT 05401-3818 | 2017-07-20 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 52601 |
Please comment or provide details below to improve the information on STEPHANIE JO 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.