Magdalena Ellis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7 Judson St Apt 3
Beverly, MA 01915-4385

Phone

(978) 968-0401

NPI assigned

Sep 7, 2023

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

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1679359301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JUDSON ST APT 3",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154385",
            "telephone_number": "978-968-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 JUDSON ST APT 3",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154385",
            "telephone_number": "978-968-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MAGDALENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Eldridge
• Youssra Elfaquir
• Rylee Janice Elliott
• Candice Capri Ellis, LIC. AC DIPLOMATE N.
• Gail L Ellis, MD
• Kelly Ellison, LMHC
• Theresa Ann Elvidge, LICSW
• Jaime Emelian
• Elizabeth VS Emerson, LICSW
• Katherine Emerson

• Mental Health Counselor in Beverly, MA
• Providers in Beverly, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.