Active NPIIndividual provider

Kathleen Ellis, LPC

Counselor, Professional in Freehold, New Jersey

NPI Number1619573474
Practice location
3499 Route 9 N Ste 2C, Freehold, NJ 07728-3277
Fax
847-859-5885
Last updated
December 8, 2020

Kathleen Ellis is a Counselor, Professional based in Freehold, NJ. Kathleen Ellis practices in Freehold, NJ and has the professional credentials of LPC. The NPI Number for Kathleen Ellis is 1619573474 and holds a License No. 37PC00583600 (NJ). The current practice location address for Kathleen Ellis is 3499 Route 9 N Ste 2C, Freehold, NJ 07728-3277 and can be reached out via phone at 732-982-2888 and via fax at 847-859-5885.

Provider Profile Details

NPI Number
1619573474
Provider Name
Kathleen Ellis
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3499 Route 9 N Ste 2C, Freehold, NJ 07728-3277
Phone Number
732-982-2888
Fax Number
847-859-5885
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
December 8, 2020
Last Update Date
December 8, 2020
Certification Date
December 8, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3499 Route 9 N Ste 2C
Freehold, NJ 07728-3277
Zip
07728-3277
Phone Number
732-982-2888
Fax Number
847-859-5885
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
City
Vernon Hills
State
IL
Zip
60061-1454
Phone Number
847-868-3435
Fax Number
847-859-5885

License Information

License Number
37PC00583600
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · 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 Kathleen Ellis, LPC?

The NPI number of Kathleen Ellis, LPC is 1619573474. It was assigned on December 8, 2020 and is currently active in the NPPES registry.

What is the specialty of Kathleen Ellis, LPC?

Kathleen Ellis, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00583600.

Where does Kathleen Ellis, LPC practice?

The practice location is 3499 Route 9 N Ste 2C, Freehold, NJ 07728-3277. The office can be reached at 732-982-2888 (phone) or 847-859-5885 (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 1619573474 directly on the NPPES registry website.

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