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LISA JOANNE ELLIS
NPI 1194960864
Day Training/Habilitation Specialist in Santa Rosa, CA

Active since December 10, 2008
2245 CHALLENGER WAY, SANTA ROSA, CA 95407(707) 565-6338 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Joanne Ellis NPPES

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

LISA JOANNE ELLIS (NPI 1194960864) is an individual day training/habilitation specialist in Santa Rosa, California and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1194960864
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameLISA JOANNE ELLIS
Location Address2245 CHALLENGER WAYSanta Rosa, CA 95407-5418
Mailing Address1300 Coddingtown CtrSanta Rosa, CA 95401-3537 · (707) 565-7640
Phone(707) 565-6338
Sole ProprietorYes
Enumeration DateDecember 10, 2008
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1194960864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
2245 CHALLENGER WAY, Santa Rosa, CA 95407
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Other Providers at the Same Location NPPES 13

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

AMANDA RUTH HUBBELL
Social Worker
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4947
ANDREW WARREN BUNNELL
Social Worker (Clinical)
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4943
JOSE VINAS-RAMIREZ
Day Training/Habilitation Specialist
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-5715
JENNIFER JAQUELIN OSEGUERA CHAVEZ
Case Manager/Care Coordinator
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4980
ALYSSIA CRUZ LCSW
Social Worker (Clinical)
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4431
JEFFREY PAUL PUCKETT ASW
Social Worker
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4993
CHANDA M. ZANGA
Licensed Vocational Nurse
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-1262
JOHANNA HERRON LMFT
Marriage & Family Therapist
2245 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4980

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 Lisa Ellis's NPI number?

The NPI number for Lisa Ellis is 1194960864. It was assigned to this individual provider in the NPPES registry on December 10, 2008.

Where is Lisa Ellis located?

Lisa Ellis practices at 2245 Challenger Way, Santa Rosa, CA 95407. The listed phone number is (707) 565-6338.

What is Lisa Ellis's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Lisa Ellis was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.