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TYAN R ELLSWORTH CADC
NPI 1366684722
Counselor - Addiction (Substance Use Disorder) in Atlantic, IA

Active since April 01, 2009
1500 E 10TH ST, ATLANTIC, IA 50022(712) 243-5091(712) 243-1337 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyan R Ellsworth Cadc NPPES

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

TYAN R ELLSWORTH CADC (NPI 1366684722) is an individual addiction (substance use disorder) provider in Atlantic, Iowa, licensed in Iowa (95005) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1366684722
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTYAN R ELLSWORTHCredential: CADC
Location Address1500 E 10TH STAtlantic, IA 50022-1935
Mailing Address1500 E 10th StAtlantic, IA 50022-1935 · (712) 243-5091 · Fax (712) 243-1337
Phone(712) 243-5091
Fax(712) 243-1337
Sole ProprietorNo
Enumeration DateApril 1, 2009
Last NPPES UpdateNovember 16, 2015
✔ NPI 1366684722 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 IA · 95005
1500 E 10TH ST, Atlantic, IA 50022
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Other Identifiers 2

Other68236IA · Wellmark
Medicaid0177394IA

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.

TAWNA L RUTHERFORD TCADC
Counselor (Addiction (Substance Use Disorder))
1500 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-5091
ALESIA JO BAXTER RN
Registered Nurse
1500 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-2606
DEBORAH E LAMB LISW
Social Worker (Clinical)
1500 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-8006
ERIN M STEFFENSEN CADC
Counselor (Addiction (Substance Use Disorder))
1500 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-5091
CHEREE KAFTON RN
Registered Nurse
1500 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-2606
WILLIAM WATERS CADC
Counselor (Addiction (Substance Use Disorder))
1500 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-5091
JAYNIE HEUTON IADC
Counselor (Addiction (Substance Use Disorder))
1500 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-5091
ELIZABETH ANDERSON LBSW-CASE MANAGER
Case Manager/Care Coordinator
1500 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-2606

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 Tyan Ellsworth's NPI number?

The NPI number for Tyan Ellsworth is 1366684722. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Tyan Ellsworth located?

Tyan Ellsworth practices at 1500 E 10th St, Atlantic, IA 50022. The listed phone number is (712) 243-5091.

What is Tyan Ellsworth'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 Tyan Ellsworth was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.