Trinity Noel Ellis, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16952 Issued in FL

Practice address

1913 Highway 87
Navarre, FL 32566-1017

Phone

(850) 324-8638

NPI assigned

Mar 25, 2015

Last updated

Jun 25, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Bindu Institute, LLC

  • Mental Health Counselor
  • Navarre, FL
  • NPI 1235500547
  NPD Authorized official

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1700270048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 HIGHWAY 87",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325661017",
            "telephone_number": "850-324-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 HIGHWAY 87",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325661017",
            "telephone_number": "850-324-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "TRINITY",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 12326",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "MH16952",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Danielle Ehnen, OTR/L
• Heba El Goweni, M.D.
• Jeffrey Gibson Ellington, MD
• Elliott a Sharon MD PA
• Nicole Ellis, M.A.
• Alyssa Jordan Lea Elman, LMT
• Robert James Elsas, DC
• Emerald Coast Direct Primary Care LLC
• Emerald Coast Healing Center, LLC
• Emerald Coast Home Living LLC

• Mental Health Counselor in Navarre, FL
• Providers in Navarre, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.