Quinita Lachelle Ellis, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60551573 Issued in WA

Practice address

1201 Pacific Ave
Tacoma, WA 98402-4301

Phone

(253) 778-6601

NPI assigned

Jun 23, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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.

• Ellison Coaching & Counseling Group

  • Mental Health Counselor
  • Kent, WA
  • NPI 1003206020
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1578874772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 EDWARDS AVE",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666640",
            "telephone_number": "253-778-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024301",
            "telephone_number": "253-778-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "QUINITA",
        "middle_name": "LACHELLE",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60146056",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60551573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Ellis-Billingsley, M.D.
• Jaime V Ellis, ARNP
• Jennifer Anne Ellis
• Joanna Ellis, CRNFA
• Meghan Michelle Ellis, LMP, CPMT
• Sean Ellison-Morales
• Aimee M Ellison, M.D.
• Jonathan Alex Ellison
• Noelle Julie Ellison
• Brittany Ellmer

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.