Jane Randolph Ellison, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1428 Issued in MN

Practice address

32104 County Road 1
Saint Cloud, MN 56303-9534

Phone

(320) 654-0001

Fax

(320) 654-0002

NPI assigned

Sep 24, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1285968255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32104 COUNTY ROAD 1",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563039534",
            "telephone_number": "320-654-0001",
            "fax_number": "320-654-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32104 COUNTY ROAD 1",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563039534",
            "telephone_number": "320-654-0001",
            "fax_number": "320-654-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "JANE",
        "middle_name": "RANDOLPH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Marie Ellis
• Sara Jane Ellis, P.T.
• Taylor Ann Ellis, PA-C
• Walter Nicholas Ellis, DPM
• Ellison Center
• Elman Care LLC
• Keyse Elmi
• Najma Elmi
• Nur Elmi
• Sahra Abdi Elmi

• Marriage & Family Therapist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.