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MICHAEL ETHEN ELLISON
NPI 1316657349
Counselor - Mental Health in Santa Rosa, CA

Active since November 30, 2022
2300 NORTHPOINT PKWY, SANTA ROSA, CA 95407(707) 571-8452 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Ethen Ellison NPPES

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

MICHAEL ETHEN ELLISON (NPI 1316657349) is an individual mental health provider in Santa Rosa, California and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1316657349
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL ETHEN ELLISON
Location Address2300 NORTHPOINT PKWYSanta Rosa, CA 95407-5004
Mailing Address2300 Northpoint PkwySanta Rosa, CA 95407-5004 · (707) 571-8452
Phone(707) 571-8452
Sole ProprietorNo
Enumeration DateNovember 30, 2022
NPPES CertifiedNovember 30, 2022
✔ NPI 1316657349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2300 NORTHPOINT PKWY, Santa Rosa, CA 95407
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Other Providers at the Same Location NPPES 19

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

HAZEL HENRY
Counselor (Mental Health)
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
CAROLYN MAY SANDINE
Counselor (Mental Health)
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
PORTIA DANIELS RN, NP
Nurse Practitioner (Psychiatric/Mental Health)
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407
Sonoma County (707) 224-8266
MRS. NICOLE ROXANNE HOUGHT
Counselor (Mental Health)
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
CAROL ANN BRUGGER
Rehabilitation Practitioner
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
EMMA MARGARET HAN JOHNSON MSW
Counselor
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
ANN M TATE
Rehabilitation Practitioner
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
VICTORIA GULLEY
Marriage & Family Therapist
2300 NORTHPOINT PKWY
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581

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 Michael Ellison's NPI number?

The NPI number for Michael Ellison is 1316657349. It was assigned to this individual provider in the NPPES registry on November 30, 2022.

Where is Michael Ellison located?

Michael Ellison practices at 2300 Northpoint Pkwy, Santa Rosa, CA 95407. The listed phone number is (707) 571-8452.

What is Michael Ellison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Michael Ellison was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.