NPIMap

Organization Active NPI

Ellie Mental Health of Naples at 75 Vineyards Blvd

Doing business as Ellie Mental Health

  • Mental Health Counselor
  • Naples, FL
National Provider Identifier
1619605706
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELLIE MENTAL HEALTH OF NAPLES AT 75 VINEYARDS BLVD
Doing business as
Ellie Mental Health
Practice address
75 Vineyards Blvd Ste 201
Naples, FL 34119-4748
Phone
(908) 432-4636
NPI assigned
Aug 8, 2022
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Mr. Marcus Silva
Title
Managing Member
Phone
(908) 432-4636

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Recovery Care Clinic/Center 261QR0800X

Addresses

Primary practice location

75 Vineyards Blvd Ste 201
Naples, FL 34119-4748

Mailing address

75 Vineyards Blvd Ste 201
Naples, FL 34119-4748
Phone (908) 432-4636

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230509000458 FL Part B Supplier - Clinic/Group Practice 2961867346 Receives reassigned benefits from 8 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

75 Vineyards Blvd
Ste 201
Naples, FL 34119
Phone (239) 326-0796

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1619605706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VINEYARDS BLVD STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194748",
            "telephone_number": "908-432-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VINEYARDS BLVD STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194748",
            "telephone_number": "908-432-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE MENTAL HEALTH OF NAPLES AT 75 VINEYARDS BLVD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-432-4636",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.