Julia Ann Ellis, LPC, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501000246 Issued in MI

Practice address

2976 Sunset Rd
Kalamazoo, MI 49009-1832

Phone

(989) 763-2196

NPI assigned

Dec 12, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rinehart Institute

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1205485604
  NPD (past)
• Rinehart Institute, PLLC

  • Mental Health Counselor
  • Kalamazoo, MI
  • NPI 1164765806
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1053826164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 SUNSET RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091832",
            "telephone_number": "989-763-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 SUNSET RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091832",
            "telephone_number": "989-763-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "credential": "LPC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401010426",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501000246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elliott, PHARMD
• Ellis Therapy Associates
• Anna Ellis
• Catherine E Ellis, M.A.
• Jenna Ellis
• Marcia Ellis, PA
• Jeannie Ellison, CPHT
• Renay Ellison, LMSW
• Susan D Ellison, RN
• Maria Ellsworth

• Massage Therapist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.