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COUNSELING & WELLNESS CENTER
NPI 1053793216
Social Worker - Clinical in Palm Desert, CA

Active since June 24, 2015
39760 BLACK MESA LN, PALM DESERT, CA 92260(760) 832-4904 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2016, Sep 22, 2016, May 16, 2016 and 1 more (4 updates tracked since 2015).

About Counseling & Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNSELING & WELLNESS CENTER (NPI 1053793216) is a healthcare organization registered as a clinical in Palm Desert, California and active in the NPI registry since June 2015. The organization lists Kelly A Ellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1053793216
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKELLY A. ELLIS
Location Address39760 BLACK MESA LNPalm Desert, CA 92260-1501
Mailing AddressPo Box 2805Rancho Mirage, CA 92270-1099 · (760) 832-4904 · Fax (760) 300-4060
Phone(760) 832-4904
Organization SubpartNo
Authorized OfficialKelly A EllisOwner · (760) 832-4904
Enumeration DateJune 24, 2015
Last NPPES UpdateAugust 1, 20234 updates tracked since enumeration
NPPES CertifiedAugust 1, 2023
✔ NPI 1053793216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 16686
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
39760 BLACK MESA LN, Palm Desert, CA 92260
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Other Names 1

Doing Business AsCounseling & Wellness Center

Other Identifiers 1

OtherZZZ28136ZCA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY A ELLIS LCSW
Social Worker (Clinical)
39760 BLACK MESA LN
PALM DESERT, CA 92260
Riverside County (760) 832-4904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly A. Ellis's NPI number?

The NPI number for Kelly A. Ellis is 1053793216. It was assigned to this organization in the NPPES registry on June 24, 2015. The provider is doing business as Counseling & Wellness Center.

Where is Kelly A. Ellis located?

Kelly A. Ellis is located at 39760 Black Mesa Ln, Palm Desert, CA 92260. The listed phone number is (760) 832-4904.

What is Kelly A. Ellis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelly A. Ellis was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.