BERNADINE ELLIS
NPI 1336628239
Counselor - Addiction (Substance Use Disorder) in Dover, OH

Active since August 10, 2018
115 S WOOSTER AVE, DOVER, OH 44622(833) 510-4357(866) 460-2997 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2022, Aug 10, 2018 (2 updates tracked since 2018).

About Bernadine Ellis NPPES

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

BERNADINE ELLIS (NPI 1336628239) is an individual addiction (substance use disorder) provider in Dover, Ohio, licensed in Ohio (150171) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1336628239
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBERNADINE ELLIS
Location Address115 S WOOSTER AVEDover, OH 44622-1944
Mailing Address615 Elsinore PlCincinnati, OH 45202-1459 · (833) 510-4357 · Fax (866) 460-2997
Fax(866) 460-2997
Sole ProprietorNo
Enumeration DateAugust 10, 2018
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
NPI 1336628239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · 150171
115 S WOOSTER AVE, Dover, OH 44622

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.

Registered Nurse
115 S WOOSTER AVE
DOVER, OH 44622
Registered Nurse
115 S WOOSTER AVE
DOVER, OH 44622
Counselor (Addiction (Substance Use Disorder))
115 S WOOSTER AVE
DOVER, OH 44622
Registered Nurse
115 S WOOSTER AVE
DOVER, OH 44622
Licensed Practical Nurse
115 S WOOSTER AVE
DOVER, OH 44622
Counselor (Addiction (Substance Use Disorder))
115 S WOOSTER AVE
DOVER, OH 44622
Licensed Practical Nurse
115 S WOOSTER AVE
DOVER, OH 44622
Registered Nurse
115 S WOOSTER AVE
DOVER, OH 44622

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 Bernadine Ellis's NPI number?

The NPI number for Bernadine Ellis is 1336628239. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Where is Bernadine Ellis located?

Bernadine Ellis practices at 115 S Wooster Ave, Dover, OH 44622. The listed phone number is (833) 510-4357.

What is Bernadine 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 Bernadine Ellis was last updated on August 29, 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.