Active NPIIndividual provider

Kaleigh N Ellis, BA, LADC II

Counselor, Addiction (Substance Use Disorder) in Lynn, Massachusetts

NPI Number1023619301
Practice location
11 Circle Ave, Lynn, MA 01905-3050
Fax
—
Last updated
June 30, 2026

Kaleigh Nicole Ellis is a Counselor, Addiction (Substance Use Disorder) based in Lynn, MA. Kaleigh Nicole Ellis practices in Lynn, MA and has the professional credentials of BA, LADC II. The NPI Number for Kaleigh Nicole Ellis is 1023619301 and holds a License No. 25552 (MA). The current practice location address for Kaleigh Nicole Ellis is 11 Circle Ave, Lynn, MA 01905-3050 and can be reached out via phone at 781-346-9941.

Provider Profile Details

NPI Number
1023619301
Provider Name
Kaleigh Nicole Ellis
Credential
BA, LADC II
Provider Entity Type
Individual
Gender
Female
Address
11 Circle Ave, Lynn, MA 01905-3050
Phone Number
781-346-9941
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
November 4, 2020
Last Update Date
June 30, 2026
Certification Date
June 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Circle Ave
Lynn, MA 01905-3050
City
Lynn
Zip
01905-3050
Phone Number
781-346-9941
Lynn, MA 01905Get directions →

Provider Business Mailing Address Details

Address
27 Quarry Ln Apt 9306
Malden, MA 02148-7990
City
Malden
State
MA
Zip
02148-7990
Phone Number
725-289-7861

License Information

License Number
25552
License State
MA
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Addiction (Substance Use Disorder) providers near Lynn, MA

View all Counselor, Addiction (Substance Use Disorder) providers in Lynn →

Frequently Asked Questions

What is the NPI number of Kaleigh N Ellis, BA, LADC II?

The NPI number of Kaleigh N Ellis, BA, LADC II is 1023619301. It was assigned on November 4, 2020 and is currently active in the NPPES registry.

What is the specialty of Kaleigh N Ellis, BA, LADC II?

Kaleigh N Ellis, BA, LADC II is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 25552.

Where does Kaleigh N Ellis, BA, LADC II practice?

The practice location is 11 Circle Ave, Lynn, MA 01905-3050. The office can be reached at 781-346-9941 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023619301 directly on the NPPES registry website.

Browse related providers