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JEREMY ELLIS CDCA
NPI 1306359393
Counselor - Addiction (Substance Use Disorder) in South Point, OH

Active since November 13, 2017
48 PRIVATE DRIVE 339, SOUTH POINT, OH 45680(740) 451-1455 Get Directions Write a Review

NPPES record last updated: April 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeremy Ellis Cdca NPPES

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

JEREMY ELLIS CDCA (NPI 1306359393) is an individual addiction (substance use disorder) provider in South Point, Ohio, licensed in Ohio (CDCA.164482) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1306359393
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREMY ELLISCredential: CDCA
Location Address48 PRIVATE DRIVE 339South Point, OH 45680-8919
Mailing Address48 Private Drive 339South Point, OH 45680-8919 · (740) 451-1455
Phone(740) 451-1455
Sole ProprietorNo
Enumeration DateNovember 13, 2017
Last NPPES UpdateApril 5, 2018
✔ NPI 1306359393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.164482
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
48 PRIVATE DRIVE 339, South Point, OH 45680
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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.

ZACHARY WORKMAN
Counselor (Addiction (Substance Use Disorder))
48 PRIVATE DRIVE 339
SOUTH POINT, OH 45680
Lawrence County (740) 451-1455
KRISTINE WILBURN
Case Manager/Care Coordinator
48 PRIVATE DRIVE 339
SOUTH POINT, OH 45680
Lawrence County (740) 451-1551
ROBERT LAWLESS CDCA
Counselor (Addiction (Substance Use Disorder))
48 PRIVATE DRIVE 339
SOUTH POINT, OH 45680
Lawrence County (740) 451-1455
KATHERINE CUNNINGHAM
Social Worker
48 PRIVATE DRIVE 339
SOUTH POINT, OH 45680
Lawrence County (740) 451-1455
HOLLY MARIETTA CDCA
Counselor (Addiction (Substance Use Disorder))
48 PRIVATE DRIVE 339
SOUTH POINT, OH 45680
Lawrence County (740) 451-1455
MARY CRABTREE CMS
Case Manager/Care Coordinator
48 PRIVATE DRIVE 339
SOUTH POINT, OH 45680
Lawrence County (740) 451-1455
MIRANDA COOPER CMS
Case Manager/Care Coordinator
48 PRIVATE DRIVE 339
SOUTH POINT, OH 45680
Lawrence County (740) 451-1455
CASEY BOYD CDCA
Counselor (Addiction (Substance Use Disorder))
48 PRIVATE DRIVE 339
SOUTH POINT, OH 45680
Lawrence County (740) 451-1455

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 Jeremy Ellis's NPI number?

The NPI number for Jeremy Ellis is 1306359393. It was assigned to this individual provider in the NPPES registry on November 13, 2017.

Where is Jeremy Ellis located?

Jeremy Ellis practices at 48 Private Drive 339, South Point, OH 45680. The listed phone number is (740) 451-1455.

What is Jeremy Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jeremy Ellis was last updated on April 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.