Active NPI
Mary Hannah Ellis, MS, CRC, LPCA
- Mental Health Counselor
- Chapel Hill, NC
National Provider Identifier
1730517293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A10466
- Practice address
- 703 Copperline Dr
Unit 208
Chapel Hill, NC 27516-4488 - Phone
- (704) 942-5950
- NPI assigned
- Oct 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A10466 | NC | Primary |
Addresses
Primary practice location
703 Copperline Dr
Unit 208
Chapel Hill, NC 27516-4488
Mailing address
703 Copperline Dr
Unit 208
Chapel Hill, NC 27516-4488
Phone (704) 942-5950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10466 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425945600000",
"number": "1730517293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 COPPERLINE DR",
"address_2": "UNIT 208",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275164488",
"telephone_number": "704-942-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 COPPERLINE DR",
"address_2": "UNIT 208",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275164488",
"telephone_number": "704-942-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "MARY",
"middle_name": "HANNAH",
"credential": "MS, CRC, LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-21",
"last_updated": "2015-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A10466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.