NPIMap

Organization Active NPI

Ellis Counseling LLC

  • Professional Counselor
  • Prattville, AL
National Provider Identifier
1649544453
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1835 Issued in AL
Legal business name
ELLIS COUNSELING LLC
Practice address
1820 Glynwood Dr Ste B
Prattville, AL 36066-5533
Phone
(334) 358-2455
Fax
(334) 491-2456
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Mrs. Martha Bruner Ellis, LPCNPI 1447340666
Title
Owner
Phone
(334) 358-2455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1835 AL Primary

Addresses

Primary practice location

1820 Glynwood Dr Ste B
Prattville, AL 36066-5533

Mailing address

1820 Glynwood Dr Ste B
Prattville, AL 36066-5533
Phone (334) 358-2455

National Provider Directory

National Provider Directory

Locations

1820 Glynwood Dr
Ste B
Prattville, AL 36066
Phone (334) 358-2455

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1649544453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 GLYNWOOD DR STE B",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665533",
            "telephone_number": "334-358-2455",
            "fax_number": "334-491-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 GLYNWOOD DR STE B",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360665533",
            "telephone_number": "334-358-2455",
            "fax_number": "334-491-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "BRUNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-358-2455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.