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ELLISEN HERNDON
NPI 1154110559
Counselor - Mental Health in Atlanta, GA

Active since May 02, 2025
250 GEORGIA AVE SE STE 206, ATLANTA, GA 30312(404) 653-0374 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellisen Herndon NPPES

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

ELLISEN HERNDON (NPI 1154110559) is an individual mental health provider in Atlanta, Georgia and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1154110559
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELLISEN HERNDON
Location Address250 GEORGIA AVE SE STE 206Atlanta, GA 30312-3000
Mailing Address250 Georgia Ave Se Ste 206Atlanta, GA 30312-3000
Phone(404) 653-0374
Sole ProprietorYes
Enumeration DateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1154110559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
250 GEORGIA AVE SE STE 206, Atlanta, GA 30312
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Other Providers at the Same Location NPPES 20

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

KOURTNAY Y ABERNATHY MS
Counselor (Mental Health)
250 GEORGIA AVE SE STE 206
ATLANTA, GA 30312
Fulton County (404) 368-8067
DENISE MONETT BARNETT
Nurse Practitioner (Family)
250 GEORGIA AVE SE STE 206
ATLANTA, GA 30312
Fulton County (404) 242-5250
TAYLOR JANET BROWN
Community Health Worker
250 GEORGIA AVE SE STE 206
ATLANTA, GA 30312
Fulton County (404) 242-5250
CASSANDRA ALLEY
Student in an Organized Health Care Education/Training Program
250 GEORGIA AVE SE STE 206
ATLANTA, GA 30312
Fulton County (404) 653-0374
MS. NAKITA TAMU BELL LMSW
Social Worker
250 GEORGIA AVE SE STE 206
ATLANTA, GA 30312
Fulton County (037) 440-4653
DEANNA GRACE WILLIAMS BSW, S/T
Counselor (Mental Health)
250 GEORGIA AVE SE STE 206
ATLANTA, GA 30312
Fulton County (404) 653-0374
MRS. KENYA SHAND IFARINU MSW
Counselor
250 GEORGIA AVE SE STE 206
ATLANTA, GA 30312
Fulton County (404) 653-0374
SHELBY WOOLRIDGE
Community Health Worker
250 GEORGIA AVE SE STE 206
ATLANTA, GA 30312
Fulton County (404) 653-0374

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 Ellisen Herndon's NPI number?

The NPI number for Ellisen Herndon is 1154110559. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Ellisen Herndon located?

Ellisen Herndon practices at 250 Georgia Ave SE Ste 206, Atlanta, GA 30312. The listed phone number is (404) 653-0374.

What is Ellisen Herndon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ellisen Herndon was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.