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JORDAN ELLIS
NPI 1336943984
Counselor - Mental Health in Quincy, MA

Active since April 02, 2025
460 QUINCY AVE, QUINCY, MA 02169(617) 847-1914 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Ellis NPPES

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

JORDAN ELLIS (NPI 1336943984) is an individual mental health provider in Quincy, Massachusetts and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1336943984
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJORDAN ELLIS
Location Address460 QUINCY AVEQuincy, MA 02169-8130
Mailing Address460 Quincy AveQuincy, MA 02169-8130
Phone(617) 847-1914
Sole ProprietorNo
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1336943984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
460 QUINCY AVE, Quincy, MA 02169
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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.

KARIA HIGGINBOTTOM
Counselor (Mental Health)
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 847-1950
MR. TOM F CHAPPUIS JR.
Counselor (Mental Health)
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 774-6036
DELLA LEAH KAPLAN RN/PC
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 847-1950
MEREDITH LEIGH NOCEK M.S.
Counselor (Mental Health)
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 847-1950
PETER SSEMMBATYA
Case Manager/Care Coordinator
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 847-1950
ANDREA COOPER
Health Educator
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 847-1950
MARK DAVID NOTRTON LICSW
Social Worker (Clinical)
460 QUINCY AVE, SOUTH SHORE MENTAL HEALTH
QUINCY, MA 02169
Norfolk County (616) 689-2560
MELISSA M SYLVAIN RN
Registered Nurse
460 QUINCY AVE
QUINCY, MA 02169
Norfolk County (617) 847-1950

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 Jordan Ellis's NPI number?

The NPI number for Jordan Ellis is 1336943984. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Jordan Ellis located?

Jordan Ellis practices at 460 Quincy Ave, Quincy, MA 02169. The listed phone number is (617) 847-1914.

What is Jordan Ellis'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 Jordan Ellis was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.