JESSICA MARIE ELLIS LCDCIII, CADC
NPI 1114487188
Counselor - Addiction (Substance Use Disorder) in Covington, KY

Q: What is Jessica Ellis's NPI number?

The NPI number for Jessica Ellis is 1114487188. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Jessica Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Ellis was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 25, 2019

1450 MADISON AVE, COVINGTON, KY 41011(859) 444-4499(859) 916-6713 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica Marie Ellis Lcdciii, Cadc NPPES

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

JESSICA MARIE ELLIS LCDCIII, CADC (NPI 1114487188) is an individual addiction (substance use disorder) provider in Covington, Kentucky, licensed in Kentucky (164249) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1114487188

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJESSICA MARIE ELLISCredential: LCDCIII, CADC

Location Address1450 MADISON AVECovington, KY 41011-3369

Mailing Address419 Avon CtCrescent Park, KY 41017-1616 · (859) 250-8460 · Fax (859) 916-6713

Phone(859) 444-4499

Fax(859) 916-6713

Sole ProprietorNo

Enumeration DateMarch 25, 2019

✔ NPI 1114487188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in KY · 164249

1450 MADISON AVE, Covington, KY 41011

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Other Providers at the Same Location NPPES 4

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

SHAKEYLIEA ROBINSON

Counselor (Addiction (Substance Use Disorder))

1450 MADISON AVE
COVINGTON, KY 41011

Kenton County (859) 444-4499

MS. CHELSEA WILLIAMS

Counselor (Addiction (Substance Use Disorder))

1450 MADISON AVE
COVINGTON, KY 41011

Kenton County (859) 444-4499

MR. JACOB RENICK LAUVER MS, MBA, CADC, LCDC

Counselor (Addiction (Substance Use Disorder))

1450 MADISON AVE
COVINGTON, KY 41011

Kenton County (859) 444-4499

ANEESAH MAILAKIA BANKHEAD TCADC

Counselor (Addiction (Substance Use Disorder))

1450 MADISON AVE
COVINGTON, KY 41011

Kenton County (859) 444-4499

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 Jessica Ellis's NPI number?

The NPI number for Jessica Ellis is 1114487188. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Jessica Ellis located?

Jessica Ellis practices at 1450 Madison Ave, Covington, KY 41011. The listed phone number is (859) 444-4499.

What is Jessica Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jessica Ellis was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.