Active NPI
Heather Leigh Ellis, LBSW
- Case Manager/Care Coordinator
- Saginaw, MI
National Provider Identifier
1386797892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 6802084108
- Practice address
- 3665 Bay Rd
Saginaw, MI 48603-2445 - Phone
- (989) 799-6542
- Fax
- (989) 799-6681
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 6802084108 | MI | Primary |
Addresses
Primary practice location
3665 Bay Rd
Saginaw, MI 48603-2445
Mailing address
500 Hancock
Saginaw County Community Mental Health Authority
Saginaw, MI 48602
Phone (989) 797-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802084108 | MI | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1386797892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HANCOCK",
"address_2": "SAGINAW COUNTY COMMUNITY MENTAL HEALTH AUTHORITY",
"city": "SAGINAW",
"state": "MI",
"postal_code": "48602",
"telephone_number": "989-797-3400",
"fax_number": "989-797-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3665 BAY RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032445",
"telephone_number": "989-799-6542",
"fax_number": "989-799-6681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "HEATHER",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "LBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": "6802084108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.