Emily Ellis

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.2204750 Issued in OH

Practice address

3454 Oak Alley CT Ste 400
Toledo, OH 43606-1355

Phone

(567) 298-4070

NPI assigned

Aug 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Align Counseling

  • Professional Counselor
  • Toledo, OH
  • NPI 1124979091
  NPD Authorized official

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1992251136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 400",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061355",
            "telephone_number": "567-298-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 400",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061355",
            "telephone_number": "567-298-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 N. Summit St.",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436041806",
            "country_code": "US",
            "telephone_number": "419-671-2070",
            "fax_number": "419-671-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "OH3150341",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elliott
• Brandon Ellis
• Christina Renee Ellis, D.O
• Danielle Ellis
• Donald Ellis
• Gregory Richard Ellis
• Jacqueline Ellis
• Jamesha Rashae Ellis
• Joseph Maurice Ellis Jr.
• Juanita Ellis, MSN, APRN, PMHNP-BC

• Professional Counselor in Toledo, OH
• Providers in Toledo, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.