Ellis and Associates Psychotherapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELLIS AND ASSOCIATES PSYCHOTHERAPY PLLC

Practice address

4343 Concourse Dr Ste 250
Ann Arbor, MI 48108-8672

Phone

(734) 677-0200

Fax

(734) 677-3310

NPI assigned

Mar 29, 2024

Organization subpart

No

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

Authorized official

Name

Laura J Durham

Title

Medical Biller

Phone

(734) 677-0200

Specialties & licenses 1

Addresses

Other names 1

• Keri T Ellis Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keri Taylor Ellis, MA, LPC

  • Professional Counselor
  • Ann Arbor, MI
  • NPI 1588116842
  NPD

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1194576967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 CONCOURSE DR STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481088672",
            "telephone_number": "734-677-0200",
            "fax_number": "734-677-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 CONCOURSE DR STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481088672",
            "telephone_number": "734-677-0200",
            "fax_number": "734-677-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS AND ASSOCIATES PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "734-677-0200"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keri T Ellis",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Keri T Ellis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Imani Elliott
• Katlyn Connors Elliott, MD
• Keren Elliott
• Leah Jane Elliott, LMSW
• Madison Elliott
• Anthony C Ellis
• Charles Norman Ellis, MD
• Erica Ellis
• James H Ellis, MD
• Jessica Ellis, RN

• Mental Health Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.