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KEITH ELLIS
NPI 1194166942
Counselor in Somerville, MA

Active since July 09, 2013
11 WARD ST, SOMERVILLE, MA 02143(617) 629-6790 Get Directions Write a Review

NPPES record last updated: July 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith Ellis NPPES

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

KEITH ELLIS (NPI 1194166942) is an individual counselor in Somerville, Massachusetts and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1194166942
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKEITH ELLIS
Location Address11 WARD STSomerville, MA 02143-4214
Mailing Address40 Locke St Unit 525Haverhill, MA 01830-5503
Phone(617) 629-6790
Sole ProprietorNo
Enumeration DateJuly 9, 2013
✔ NPI 1194166942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
11 WARD ST, Somerville, MA 02143
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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.

JEMIMA LAURENT
Counselor
11 WARD ST
SOMERVILLE, MA 02143
Middlesex County (617) 629-6790
MAYA ROGERS-BURSEN
Counselor (Mental Health)
11 WARD ST
SOMERVILLE, MA 02143
Middlesex County (857) 321-2747
KARA MARISSA MCELANEY
Marriage & Family Therapist
11 WARD ST
SOMERVILLE, MA 02143
Middlesex County (857) 321-9017
MISS SARAH ANN WESSEL
Student in an Organized Health Care Education/Training Program
11 WARD ST
SOMERVILLE, MA 02143
Middlesex County (617) 629-6790
MS. CASEY CULLEN
Marriage & Family Therapist
11 WARD ST
SOMERVILLE, MA 02143
Middlesex County (617) 629-6790
VIVIANA ARTURO
Counselor
11 WARD ST
SOMERVILLE, MA 02143
Middlesex County (781) 540-4225
CHRISTOPHER KOUROYEN LMHC, LCMHC
Counselor (Mental Health)
11 WARD ST
SOMERVILLE, MA 02143
Middlesex County (617) 629-9790
MELISSA VALERIE RIGUEUR
Counselor
11 WARD ST
SOMERVILLE, MA 02143
Middlesex County (617) 629-6790

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 Keith Ellis's NPI number?

The NPI number for Keith Ellis is 1194166942. It was assigned to this individual provider in the NPPES registry on July 9, 2013.

Where is Keith Ellis located?

Keith Ellis practices at 11 Ward St, Somerville, MA 02143. The listed phone number is (617) 629-6790.

What is Keith Ellis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Keith Ellis was last updated on July 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.