MR. KENDRICK MAURICE ELLISON JR.
NPI 1407225345
Counselor - Mental Health in Boston, MA

Q: What is Kendrick Ellison's NPI number?

The NPI number for Kendrick Ellison is 1407225345. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Q: What is Kendrick Ellison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kendrick Ellison was last updated on September 22, 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.

Active since September 22, 2015

714 BLUE HILL AVE APT 3, BOSTON, MA 02121(617) 637-0434 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Kendrick Maurice Ellison Jr. NPPES

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

MR. KENDRICK MAURICE ELLISON JR. (NPI 1407225345) is an individual mental health provider in Boston, Massachusetts, licensed in Massachusetts (S11267675) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1407225345

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. KENDRICK MAURICE ELLISON JR.

Location Address714 BLUE HILL AVE APT 3Boston, MA 02121-3239

Mailing Address714 Blue Hill Ave Apt 3Boston, MA 02121-3239 · (617) 637-0434

Phone(617) 637-0434

Sole ProprietorYes

Enumeration DateSeptember 22, 2015

✔ NPI 1407225345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MA · S11267675

714 BLUE HILL AVE APT 3, Boston, MA 02121

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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 Kendrick Ellison's NPI number?

The NPI number for Kendrick Ellison is 1407225345. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Where is Kendrick Ellison located?

Kendrick Ellison practices at 714 Blue Hill Ave Apt 3, Boston, MA 02121. The listed phone number is (617) 637-0434.

What is Kendrick 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 Kendrick Ellison was last updated on September 22, 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.