NPIMap

Organization Active NPI

Jtsj1 Enterprises LLC

Doing business as Ellie Mental Health

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1801589759
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JTSJ1 ENTERPRISES LLC
Doing business as
Ellie Mental Health
Practice address
25 Sundial Ave Ste 310W
Manchester, NH 03103-7244
Phone
(207) 303-7444
NPI assigned
May 29, 2023
Last updated
May 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Authorized official

Name
James Glanville
Title
Owner
Phone
(207) 303-7444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

25 Sundial Ave Ste 310W
Manchester, NH 03103-7244

Mailing address

243 Mitchell Rd
Cape Elizabeth, ME 04107-1213
Phone (207) 303-7444

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231025001447 NH Part B Supplier - Clinic/Group Practice 9537515689 Receives reassigned benefits from 13 practitioners
Practice locations: Bedford, NH; Manchester, NH

National Provider Directory

National Provider Directory

Locations

166 S River Rd
Ste 220
Bedford, NH 03110
Phone (603) 836-4112

25 Sundial Ave
Manchester, NH 03103
Phone (603) 634-9471

25 Sundial Ave
Ste 310
Manchester, NH 03103
Phone (603) 634-9471

25 Sundial Ave
Ste 310W
Manchester, NH 03103
Phone (603) 634-9471

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1801589759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 MITCHELL RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041071213",
            "telephone_number": "207-303-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SUNDIAL AVE STE 310W",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031037244",
            "telephone_number": "207-303-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTSJ1 ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-27",
        "status": "A",
        "authorized_official_last_name": "GLANVILLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-303-7444"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.