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MS. KANDACE MICHAELE ELLIS-BURNETT BA
NPI 1215270889
Peer Specialist in San Diego, CA

Active since April 02, 2013
3148 MIDWAY DR STE 113, SAN DIEGO, CA 92110(619) 363-0853(619) 362-9905 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kandace Michaele Ellis-burnett Ba NPPES

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

MS. KANDACE MICHAELE ELLIS-BURNETT BA (NPI 1215270889) is an individual peer specialist in San Diego, California and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1215270889
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. KANDACE MICHAELE ELLIS-BURNETTCredential: BA
Location Address3148 MIDWAY DR STE 113San Diego, CA 92110-4539
Mailing Address8910 Clairemont Mesa BlvdSan Diego, CA 92123-1104 · (858) 514-5100 · Fax (858) 514-5190
Phone(619) 363-0853
Fax(619) 362-9905
Sole ProprietorNo
Enumeration DateApril 2, 2013
Last NPPES UpdateMay 5, 2022
NPPES CertifiedMay 5, 2022
✔ NPI 1215270889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3148 MIDWAY DR STE 113, San Diego, CA 92110
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Other Names 1

Professional Name (2)Miss Kandace Michaele Ellis Ba

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.

SUNCEREE S RICHARDSON
Counselor (Addiction (Substance Use Disorder))
3148 MIDWAY DR STE 113
SAN DIEGO, CA 92110
San Diego County (619) 363-0853
AMANDA J YSLAS
Counselor
3148 MIDWAY DR STE 113
SAN DIEGO, CA 92110
San Diego County (858) 514-5100
BILLY JOE WAYNE TURNER RAC
Counselor (Addiction (Substance Use Disorder))
3148 MIDWAY DR STE 113
SAN DIEGO, CA 92110
San Diego County (619) 363-0853
JENNIFIERANN MARQUEZ
Counselor (Addiction (Substance Use Disorder))
3148 MIDWAY DR STE 113
SAN DIEGO, CA 92110
San Diego County (619) 363-0853

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 Kandace Ellis-burnett's NPI number?

The NPI number for Kandace Ellis-burnett is 1215270889. It was assigned to this individual provider in the NPPES registry on April 2, 2013. The provider is also known as Miss Kandace Michaele Ellis Ba.

Where is Kandace Ellis-burnett located?

Kandace Ellis-burnett practices at 3148 Midway Dr Ste 113, San Diego, CA 92110. The listed phone number is (619) 363-0853.

What is Kandace Ellis-burnett's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kandace Ellis-burnett was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.