Jessica Anne Ellis, LPC
Individual provider Active NPI Professional Counselor · Ashland, OH
NPI 1861893380 · NPPES record last updated Mar 6, 2018
Key facts
- NPI
- 1861893380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C1200548 (OH)
- Practice address
- 1590 Crestview Dr
Ashland, OH 44805-3560 - Phone
- (419) 289-0970
- NPI assigned
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1200548 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Children'S Home of Ohio | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/cchoo/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1200548 | OH | Yes |
Addresses
Primary practice location
1590 Crestview Dr
Ashland, OH 44805-3560
Mailing address
1590 Crestview Dr
Ashland, OH 44805-3560
Phone (419) 289-0970
Other providers in Ashland, OH
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- Pierre El Hachem
- Faith Elert
- Elevation Counseling Services
- Bryanna Elkins
- Embassy Crystal Care, LLC
- Sena M Emmerling
- Diane Susan Emser
- Epic Services of Ohio LLC
- Jeanne Eshelman
All providers in Ashland, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.