Active NPIIndividual provider

Mrs. Jen Ellis, LMHC

Counselor, Mental Health in Boylston, Massachusetts

NPI Number1487290524
Practice location
727 Main St, Boylston, MA 01505-1449
Fax
—
Last updated
August 29, 2022

Jen Ellis is a Counselor, Mental Health based in Boylston, MA. Jen Ellis practices in Boylston, MA and has the professional credentials of LMHC. The NPI Number for Jen Ellis is 1487290524 and holds a License No. 11383 (MA). The current practice location address for Jen Ellis is 727 Main St, Boylston, MA 01505-1449 and can be reached out via phone at 978-612-6611.

Provider Profile Details

NPI Number
1487290524
Provider Name
Jen Ellis
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
727 Main St, Boylston, MA 01505-1449
Phone Number
978-612-6611
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
November 25, 2019
Last Update Date
August 29, 2022
Certification Date
July 26, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
727 Main St
Boylston, MA 01505-1449
Zip
01505-1449
Phone Number
978-612-6611
Boylston, MA 01505Get directions →

Provider Business Mailing Address Details

Address
727 Main St
Boylston, MA 01505-1449
City
Boylston
State
MA
Zip
01505-1449
Phone Number
978-612-6611

License Information

License Number
11383
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mrs. Jen Ellis, LMHC?

The NPI number of Mrs. Jen Ellis, LMHC is 1487290524. It was assigned on November 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jen Ellis, LMHC?

Mrs. Jen Ellis, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 11383.

Where does Mrs. Jen Ellis, LMHC practice?

The practice location is 727 Main St, Boylston, MA 01505-1449. The office can be reached at 978-612-6611 (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 1487290524 directly on the NPPES registry website.

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