Active NPIIndividual providerSole proprietor

Kerry Ellis

Counselor, Mental Health in Medford, Massachusetts

NPI Number1649767203
Practice location
190 High St Apt 210, Medford, MA 02155-3810
Fax
—
Last updated
April 19, 2018

Kerry Ellis is a Counselor, Mental Health based in Medford, MA. Kerry Ellis practices in Medford, MA. The NPI Number for Kerry Ellis is 1649767203. The current practice location address for Kerry Ellis is 190 High St Apt 210, Medford, MA 02155-3810 and can be reached out via phone at 339-223-7727.

Provider Profile Details

NPI Number
1649767203
Provider Name
Kerry Ellis
Provider Entity Type
Individual
Gender
Female
Address
190 High St Apt 210, Medford, MA 02155-3810
Phone Number
339-223-7727
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
April 19, 2018
Last Update Date
April 19, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
190 High St Apt 210
Medford, MA 02155-3810
Zip
02155-3810
Phone Number
339-223-7727
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
190 High St Apt 210
Medford, MA 02155-3810
City
Medford
State
MA
Zip
02155-3810
Phone Number
339-223-7727

License Information

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 Kerry Ellis?

The NPI number of Kerry Ellis is 1649767203. It was assigned on April 19, 2018 and is currently active in the NPPES registry.

What is the specialty of Kerry Ellis?

Kerry Ellis is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Kerry Ellis practice?

The practice location is 190 High St Apt 210, Medford, MA 02155-3810. The office can be reached at 339-223-7727 (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 1649767203 directly on the NPPES registry website.

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