JENNIFER ELLIS M.ED LPC NPI 1740687524

NPI Information

  • NPI: 1740687524
  • Provider Name: JENNIFER ELLIS, M.ED, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 464 PARKER AVE
    PHILADELPHIA, PA
    ZIP 19128
  • Phone: (609) 413-6089

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NPI Details

JENNIFER ELLIS, M.ED, LPC is a mental health counselor in Philadelphia, PA. JENNIFER ELLIS, M.ED, LPC NPI is 1740687524. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

464 PARKER AVE
PHILADELPHIA, PA
ZIP 19128-402
Phone: (609) 413-6089

The provider's authorized official is Jennifer Marie Ellis .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (609) 413-6089.

The enumeration date for this NPI number is 11/23/2014 and was last updated on 11/23/2014.

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 HealthPC006176PENNSYLVANIAYes

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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