Emily Anne Ellens, MA, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361000735 Issued in MI

Practice address

300 S State St Ste 13
Zeeland, MI 49464-1678

Phone

(616) 772-1733

NPI assigned

Jun 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Ellens Therapy Services LLC

  • Psychologist
  • Zeeland, MI
  • NPI 1487350245
  NPD Authorized official

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1477595031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 VILLAGE LN",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648250",
            "telephone_number": "616-990-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S STATE ST STE 13",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494641678",
            "telephone_number": "616-772-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENS",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "credential": "MA, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012310",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361000735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DVT Care LLC
• Brandon Dykstra, DC
• Andrea Lynn Eastway, NP
• Brooke Lynne Elenbaas Ten Hagen, LMSW
• Ellens Therapy Services LLC
• Julie Emelander, PHARMD.
• Endless Compassion Services LLC
• Engage Therapy Center LLC
• Whitney Engelsman
• Equitable Learning Solutions

• Psychologist in Zeeland, MI
• Providers in Zeeland, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.