Active NPI
Ellise Nolan
- Mental Health Counselor
- Toledo, OH
National Provider Identifier
1417514944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.1901751-TRNE
- Practice address
- 3454 Oak Alley CT Ste 400
Toledo, OH 43606-1355 - Phone
- (502) 216-3138
- NPI assigned
- May 21, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1901751-TRNE | OH | Primary |
Addresses
Primary practice location
3454 Oak Alley CT Ste 400
Toledo, OH 43606-1355
Mailing address
4430 N Holland Sylvania Rd Apt 2203
Toledo, OH 43623-3546
Phone (502) 216-3138
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 |
|---|---|---|---|
| C.1901751-TRNE | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1417514944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4430 N HOLLAND SYLVANIA RD APT 2203",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233546",
"telephone_number": "502-216-3138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3454 OAK ALLEY CT STE 400",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061355",
"telephone_number": "502-216-3138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "ELLISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1901751-TRNE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.