Anglea Marie Ellis, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801090747 Issued in MI

Practice address

6495 S Nicolet Rd
Sault Sainte Marie, MI 49783-9517

Phone

(906) 635-1037

NPI assigned

Nov 17, 2008

Last updated

Feb 26, 2014By the provider in NPPES

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

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1538314679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 S NICOLET RD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497839517",
            "telephone_number": "906-635-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 S NICOLET RD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497839517",
            "telephone_number": "906-635-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ANGLEA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801090747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Sue Eby, MD
• Mark W Edwards, MD
• Pamela Marie Edwards
• Eero J. Ranta, M.D., P.C.
• Elizabeth Eidenier
• Ashly P. Ellis
• Lindsay Ellis
• Mary Ellis
• Nicole Marie Ellison
• Eric J. Siesel, O.D.P.C.

• Mental Health Counselor in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, 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 Feb 26, 2014; 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.