Michelle M Ellis, MS,CASAC,ICADC,CADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

17385 Issued in NY

Practice address

201 E Green St
Suite 500
Ithaca, NY 14850-5635

Phone

(607) 274-6288

NPI assigned

Jul 20, 2012

Last updated

Jul 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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.

• Alcohol & Drug Council

  • Case Management Agency
  • Ithaca, NY
  • NPI 1972823771
  NPD (past)
• Alcohol & Drug Council of Tompkins County, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ithaca, NY
  • NPI 1194744227
  NPD (past)

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1760737266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E GREEN ST",
            "address_2": "SUITE 500",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505635",
            "telephone_number": "607-274-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E GREEN ST",
            "address_2": "SUITE 500",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505635",
            "telephone_number": "607-274-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MS,CASAC,ICADC,CADT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "17385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Eller, ND
• Sarah Clare Elliott, LCSW
• Steven J Elliott, MD
• Gail Ellis, RN
• Michael Flint Ellis, LCSW
• Karen A Ellsworth
• Eric Ferguson Elzinga, MD
• Emerging Vision Inc (sterling optical)
• Nancy Ellen Emerson, M.S. CCC-SLP
• Brooke Marie Emery

• Addiction (Substance Use Disorder) Counselor in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.