Active NPI
Jennie Ellington, CADC
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
National Provider Identifier
1740917871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 21649
- Practice address
- 211 E Six Forks Rd Ste 117
Raleigh, NC 27609-7753 - Phone
- (919) 833-8899
- NPI assigned
- Aug 8, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21649 | NC | Primary |
Addresses
Primary practice location
211 E Six Forks Rd Ste 117
Raleigh, NC 27609-7753
Mailing address
211 E Six Forks Rd
Raleigh, NC 27609-7745
Phone (919) 833-8899
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21649 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1740917871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E SIX FORKS RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097745",
"telephone_number": "919-833-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E SIX FORKS RD STE 117",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097753",
"telephone_number": "919-833-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGTON",
"first_name": "JENNIE",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "21649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.