Martha Bruner Ellis, ED.S., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1835 Issued in AL

Practice address

698 Silver Hills Dr
Prattville, AL 36066-6184

Phone

(334) 358-2455

Fax

(334) 358-4909

NPI assigned

Oct 16, 2006

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

Opted out of Medicare

Yes, effective Jan 3, 2024 through Jan 3, 2028

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.

• Ellis Counseling LLC

  • Professional Counselor
  • Prattville, AL
  • NPI 1649544453
  NPD (past) Authorized official
• Emerge Counseling LLC

  • Counselor
  • Prattville, AL
  • NPI 1588394415
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447340666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 SILVER HILLS DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360666184",
            "telephone_number": "334-358-2455",
            "fax_number": "334-358-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 SILVER HILLS DR",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360666184",
            "telephone_number": "334-358-2455",
            "fax_number": "334-358-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MARTHA",
        "middle_name": "BRUNER",
        "name_prefix": "Mrs.",
        "credential": "ED.S., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin J Ehrlich, BPHARM
• George Nicholas Eischens, O.D.
• Elitecare Healthservices LLC
• Ellis Counseling LLC
• Amanda Ellis, RBT
• Paul Dewitt Ellzey, D.D.S.
• Elena Beatriz Elwell
• Emerge Counseling LLC
• Emergency Services of Montgomery PC
• Anna Summerlyn Ensor, M.S. CCC-SLP

• Professional Counselor in Prattville, AL
• Providers in Prattville, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.