Active NPI
Lori Ellis
- Addiction (Substance Use Disorder) Counselor
- Jackson, OH
National Provider Identifier
1528513355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 981153
- Practice address
- 310 Morton St
Jackson, OH 45640-1028 - Phone
- (740) 645-7549
- NPI assigned
- Aug 22, 2016
- Last updated
- Jan 15, 2026
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 981153 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardinal Recovery, LLC | Current | Accepting new patients | |
| Cardinal Recovery, LLC | Current | 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
- 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.
-
- Community/Behavioral Health Agency
- Jackson, OH
- NPI 1770321499
-
- Substance Abuse Rehabilitation Facility
- Bidwell, OH
- NPI 1215482229
-
- Community/Behavioral Health Agency
- Bidwell, OH
- NPI 1932864733
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.