DR. MICHELLE ELLIS NPI 1477241867

NPI Information

  • NPI: 1477241867
  • Provider Name: DR. MICHELLE ELLIS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 302 E 2ND ST
    JACKSONVILLE, FL
    ZIP 32206
  • Phone: (904) 990-3931

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NPI Details

DR. Michelle Ellis is a mental health counselor in Jacksonville, FL. DR. Michelle Ellis NPI is 1477241867. 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:

302 E 2ND ST
JACKSONVILLE, FL
ZIP 32206-110
Phone: (904) 990-3931

The enumeration date for this NPI number is 4/25/2023 and was last updated on 8/24/2023.

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
1101YP2500XCounselorProfessionalPC008417PENNSYLVANIANo
2101YM0800XCounselorMental HealthMH22623FLORIDAYes

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: 11/21/2025

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