Paula Michelle Ellerbrock

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1235 W Market St
Lima, OH 45805-2728

Phone

(567) 289-6060

NPI assigned

Jun 15, 2022

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

Practice roles

Interoperability endpoints

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

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.

• Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lima, OH
  • NPI 1336780196
  NPD (past)
• Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc

  • Community Health Clinic/Center
  • Lima, OH
  • NPI 1629144050
  NPD (past)
• Phoenix Group Home, LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
  • NPI 1083146013
  NPD (past)
• Phoenix Group Home, LLC

  • Substance Abuse Rehabilitation Facility
  • Cincinnati, OH
  • NPI 1336654854
  NPD (past)

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1548990203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17461 ROAD 19",
            "city": "FORT JENNINGS",
            "state": "OH",
            "postal_code": "458449152",
            "telephone_number": "419-796-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052728",
            "telephone_number": "567-289-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERBROCK",
        "first_name": "PAULA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Electrodiagnostic Rehab Assoc
• Allison Ellerbrock
• Emily Ellerbrock, PT, DPT
• Megan Ellerbrock
• Michelle Ellerbrock
• Ross Ellerbrock
• Erin L Ellis, D.M.D.
• Jerome C Ellis, DDS
• Joseph Christian Ellis, ADULT COMPANION
• Katie Jo Ellis, PA

• Case Manager/Care Coordinator in Lima, OH
• Providers in Lima, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.