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FRED ELLIS MA
NPI 1235921503
Case Manager/Care Coordinator in Jonesboro, LA

Active since May 21, 2025
525 ALEXANDER ST, JONESBORO, LA 71251(318) 259-4676 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fred Ellis Ma NPPES

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

FRED ELLIS MA (NPI 1235921503) is an individual case manager/care coordinator provider in Jonesboro, Louisiana and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1235921503
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameFRED ELLISCredential: MA
Location Address525 ALEXANDER STJonesboro, LA 71251-2001
Mailing Address1000 Chinaberry Dr Ste 900Bossier City, LA 71111-2455
Phone(318) 259-4676
Sole ProprietorNo
Enumeration DateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1235921503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
525 ALEXANDER ST, Jonesboro, LA 71251
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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.

TRAJA GOLSTON CSW
Social Worker
525 ALEXANDER ST
JONESBORO, LA 71251
Jackson Parish (318) 259-4676
LISA LASHAE ALBRITTON
Case Manager/Care Coordinator
525 ALEXANDER ST
JONESBORO, LA 71251
Jackson Parish (318) 259-4676
LAROYA SHERRELL DICKENS M.S.
Case Manager/Care Coordinator
525 ALEXANDER ST
JONESBORO, LA 71251
Jackson Parish (318) 259-4676
TYLER ANDERSON
Case Manager/Care Coordinator
525 ALEXANDER ST
JONESBORO, LA 71251
Jackson Parish (318) 259-4676
BREONA HOLLINGSWORTH
Social Worker
525 ALEXANDER ST
JONESBORO, LA 71251
Jackson Parish (318) 259-4676
MISTY JORDAN
Case Manager/Care Coordinator
525 ALEXANDER ST
JONESBORO, LA 71251
Jackson Parish (318) 259-4676
MISS-LOU ADDICTION CLINIC
Case Manager/Care Coordinator
525 ALEXANDER ST
JONESBORO, LA 71251
Jackson Parish (601) 442-0270
KELLYE HAZELWOOD
Counselor
525 ALEXANDER ST
JONESBORO, LA 71251
Jackson Parish (318) 259-4676

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 Fred Ellis's NPI number?

The NPI number for Fred Ellis is 1235921503. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Fred Ellis located?

Fred Ellis practices at 525 Alexander St, Jonesboro, LA 71251. The listed phone number is (318) 259-4676.

What is Fred Ellis's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Fred Ellis was last updated on May 21, 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.