1. Home
  2. Directory
  3. West Virginia
  4. Princeton
  5. Peer Specialist
  6. NPI Profile

TABATHA ELLIS PRSS
NPI 1235950643
Peer Specialist in Princeton, WV

Active since October 18, 2024
200 12TH STREET EXT, PRINCETON, WV 24740(304) 732-6043 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tabatha Ellis Prss NPPES

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

TABATHA ELLIS PRSS (NPI 1235950643) is an individual peer specialist in Princeton, West Virginia, licensed in West Virginia (24-989) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1235950643
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTABATHA ELLISCredential: PRSS
Location Address200 12TH STREET EXTPrinceton, WV 24740-2329
Mailing Address200 12th Street ExtPrinceton, WV 24740-2329 · (304) 732-6043
Phone(304) 732-6043
Sole ProprietorYes
Enumeration DateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1235950643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WV · 24-989
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.
200 12TH STREET EXT, Princeton, WV 24740
Open in Google Maps ↗

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.

TIFFANY MCGEE PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
DIANNA MICHELLE CANTRELL RBA, MS
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 436-2107
MICHAEL MEADOWS PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
CHRIS WILLIAMS PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
AMY ENGLAND
Community Health Worker
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
MICHELLE COOPER
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (276) 722-2662
MICHAEL HOLMES PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
JABEZ R ANDERSON BA, BSPI
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541

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 Tabatha Ellis's NPI number?

The NPI number for Tabatha Ellis is 1235950643. It was assigned to this individual provider in the NPPES registry on October 18, 2024.

Where is Tabatha Ellis located?

Tabatha Ellis practices at 200 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 732-6043.

What is Tabatha Ellis'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 Tabatha Ellis was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.