MS. DANIELLE PROMISE ELLIS AS CADC I NPI 1275098899

NPI Information

NPI: 1275098899
Provider Name: MS. DANIELLE PROMISE ELLIS, AS, CADC I
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
557 NW MONROE AVE
CORVALLIS, OR
ZIP 97330
Phone: (541) 766-3540
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MS. Danielle Promise Ellis, AS, CADC I is an addiction (substance use disorder) counselor in Corvallis, OR. MS. Danielle Promise Ellis, AS, CADC I NPI is 1275098899. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

557 NW MONROE AVE
CORVALLIS, OR
ZIP 97330-721
Phone: (541) 766-3540
Fax: (541) 766-3543

The enumeration date for this NPI number is 2/7/2019 and was last updated on 2/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	18-01-44	OREGON	Yes
2	171M00000X	Case Manager/Care Coordinator				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	18-01-44	OTHER	OREGON	MHACBO
2	18-01-44	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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