Ashley Ellis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451024585 Issued in MI

Practice address

640 Saint Joseph Ave
Berrien Springs, MI 49103-1603

Phone

(269) 471-5968

NPI assigned

Sep 24, 2025

Sex

Female

Sole proprietor

No

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

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.

• Hinman Counseling Services

  • Mental Health Counselor
  • Berrien Springs, MI
  • NPI 1760999874
  NPD (past)

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1497628713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9846 ROSEHILL RD APT N6",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491032223",
            "telephone_number": "269-340-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SAINT JOSEPH AVE",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031603",
            "telephone_number": "269-471-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451024585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Auxtinee Dolan, RNC, IBCLC
• Khaydeann Dolphy
• Duplex Psychological Services
• Brandy Caprice Durant
• Samantha Carol Edgar
• Nina Marie Elmendorf-Steele
• Ep Therapy, PLLC
• Timothy Scott Erich
• Joshua Espiritu
• Mardi Gras Nanyongo Etchi-Banyi

• Mental Health Counselor in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.