Dr. Kathleen Ellis, PHD, LADC, LPC
Counselor, Addiction (Substance Use Disorder) in New London, Connecticut
1679902316- Practice location
- 365 Montauk Ave, New London, CT 06320-4700
- Phone
- 860-271-4271
- Fax
- 860-444-5107
- Last updated
- September 10, 2025
Kathleen Ellis is a Counselor, Addiction (Substance Use Disorder) based in New London, CT. Kathleen Ellis practices in New London, CT and has the professional credentials of PHD, LADC, LPC. The NPI Number for Kathleen Ellis is 1679902316 and holds a License No. 000903 (CT). The current practice location address for Kathleen Ellis is 365 Montauk Ave, New London, CT 06320-4700 and can be reached out via phone at 860-271-4271 and via fax at 860-444-5107.
Provider Profile Details
- NPI Number
- 1679902316
- Provider Name
- Kathleen Ellis
- Credential
- PHD, LADC, LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 365 Montauk Ave, New London, CT 06320-4700
- Phone Number
- 860-271-4271
- Fax Number
- 860-444-5107
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 4, 2013
- Last Update Date
- September 10, 2025
- Certification Date
- September 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- Connecticut
- Zip
- 06320-4700
- Phone Number
- 860-271-4271
- Fax Number
- 860-444-5107
Provider Business Mailing Address Details
- Address
- 365 Montauk Ave
New London, CT 06320-4700 - City
- New London
- State
- CT
- Zip
- 06320-4700
- Phone Number
- 860-271-4271
License Information
- License Number (1)
- 000903
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
- License Number (2)
- 002541
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Professional · 101YP2500X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near New London, CT
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Frequently Asked Questions
What is the NPI number of Dr. Kathleen Ellis, PHD, LADC, LPC?
The NPI number of Dr. Kathleen Ellis, PHD, LADC, LPC is 1679902316. It was assigned on November 4, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Kathleen Ellis, PHD, LADC, LPC?
Dr. Kathleen Ellis, PHD, LADC, LPC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000903.
Where does Dr. Kathleen Ellis, PHD, LADC, LPC practice?
The practice location is 365 Montauk Ave, New London, CT 06320-4700. The office can be reached at 860-271-4271 (phone) or 860-444-5107 (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 1679902316 directly on the NPPES registry website.