JATARRA ELLIS LPC-A NPI 1336909035

NPI Information

  • NPI: 1336909035
  • Provider Name: JATARRA ELLIS, LPC-A
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 255 BANK ST FL 4
    WATERBURY, CT
    ZIP 06702
  • Phone: (203) 596-9724

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NPI Details

Jatarra Ellis, LPC-A is a mental health counselor in Waterbury, CT. Jatarra Ellis, LPC-A NPI is 1336909035. 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:

255 BANK ST FL 4
WATERBURY, CT
ZIP 06702-219
Phone: (203) 596-9724

The enumeration date for this NPI number is 3/20/2024 and was last updated on 8/12/2024.

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
1101YM0800XCounselorMental Health6792CONNECTICUTYes

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: 3/30/2025

NPI Synchronization or Removal

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