JENNIFER JEANNE ELLIS M.A. NPI 1609180819

NPI Information

NPI: 1609180819
Provider Name: JENNIFER JEANNE ELLIS, M.A.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7745 JONAGOLD DR SE
GRAND RAPIDS, MI
ZIP 49508
Phone: (616) 970-4636
Get Directions

Jennifer Jeanne Ellis, M.A. is a mental health counselor in Grand Rapids, MI. Jennifer Jeanne Ellis, M.A. NPI is 1609180819. 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:

7745 JONAGOLD DR SE
GRAND RAPIDS, MI
ZIP 49508-602
Phone: (616) 970-4636

The enumeration date for this NPI number is 7/29/2010 and was last updated on 11/15/2013.

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	101YM0800X	Counselor	Mental Health	6401013557	MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »