Individual provider Active NPI

Lori Ellis

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, OH
National Provider Identifier
1528513355
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
981153 Issued in OH
Practice address
310 Morton St
Jackson, OH 45640-1028
Phone
(740) 645-7549
NPI assigned
Aug 22, 2016
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 981153 OH Primary

Addresses

Primary practice location

310 Morton St
Jackson, OH 45640-1028

Mailing address

310 Morton St
Jackson, OH 45640-1028
Phone (740) 645-7549

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

LicenseStateTypeSpecialty
981153OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Recovery, LLC CurrentSince Dec 21, 2025 Accepting new patients
Cardinal Recovery, LLC CurrentSince Dec 21, 2025 Accepting new patients
Positive Change Recovery Services, LLC Past Accepting new patients

Locations

1700 State Route 850
Bidwell, OH 45614
Phone (740) 446-9129

1134 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-6020

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/cardinalrecoveryllc/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1528513355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MORTON ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401028",
            "telephone_number": "740-645-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MORTON ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401028",
            "telephone_number": "740-645-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "981153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.