Jenna L Ellis, MA, LMHC
Counselor, Mental Health in Lakeville, Massachusetts
1194095406- Practice location
- 109 Rhode Island RD Ste D, Lakeville, MA 02347-1370
- Phone
- 774-955-0494
- Fax
- 774-250-3210
- Last updated
- February 27, 2024
Jenna Lee Ellis is a Counselor, Mental Health based in Lakeville, MA. Jenna Lee Ellis practices in Lakeville, MA and has the professional credentials of MA, LMHC. The NPI Number for Jenna Lee Ellis is 1194095406 and holds a License No. 9907 (MA). The current practice location address for Jenna Lee Ellis is 109 Rhode Island RD Ste D, Lakeville, MA 02347-1370 and can be reached out via phone at 774-955-0494 and via fax at 774-250-3210.
Provider Profile Details
- NPI Number
- 1194095406
- Provider Name
- Jenna Lee Ellis
- Credential
- MA, LMHC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 109 Rhode Island RD Ste D, Lakeville, MA 02347-1370
- Phone Number
- 774-955-0494
- Fax Number
- 774-250-3210
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Other Names
- -- Jenna Lee Claes (Former Name)
- Provider Enumeration Date
- January 3, 2012
- Last Update Date
- February 27, 2024
- Certification Date
- February 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 109 Rhode Island RD Ste D
Lakeville, MA 02347-1370 - City
- Lakeville
- State
- Massachusetts
- Zip
- 02347-1370
- Phone Number
- 774-955-0494
- Fax Number
- 774-250-3210
Provider Business Mailing Address Details
- Address
- 109 Rhode Island RD Ste D
Lakeville, MA 02347-1370 - City
- Lakeville
- State
- MA
- Zip
- 02347-1370
- Phone Number
- 774-955-0494
- Fax Number
- 774-250-3210
License Information
- License Number
- 9907
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jenna L Ellis, MA, LMHC?
The NPI number of Jenna L Ellis, MA, LMHC is 1194095406. It was assigned on January 3, 2012 and is currently active in the NPPES registry.
What is the specialty of Jenna L Ellis, MA, LMHC?
Jenna L Ellis, MA, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 9907.
Where does Jenna L Ellis, MA, LMHC practice?
The practice location is 109 Rhode Island RD Ste D, Lakeville, MA 02347-1370. The office can be reached at 774-955-0494 (phone) or 774-250-3210 (fax).
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 1194095406 directly on the NPPES registry website.