MRS. KELLY PINNEY ELLIS MA, LPC, BCPC
NPI 1417189929
Counselor - Professional in South Haven, MI

Q: What is Kelly Ellis's NPI number?

The NPI number for Kelly Ellis is 1417189929. It was assigned to this individual provider in the NPPES registry on August 17, 2009.

Q: What is Kelly Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Ellis was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 August 17, 2009

404 BROADWAY ST, SUITE B, SOUTH HAVEN, MI 49090(269) 214-1234(269) 872-3625 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Kelly Pinney Ellis Ma, Lpc, Bcpc NPPES

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

MRS. KELLY PINNEY ELLIS MA, LPC, BCPC (NPI 1417189929) is an individual professional provider in South Haven, Michigan, licensed in Michigan (6401011487) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1417189929

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. KELLY PINNEY ELLISCredential: MA, LPC, BCPC

Location Address404 BROADWAY ST, SUITE BSouth Haven, MI 49090-1421

Mailing Address404 Broadway St, Suite BSouth Haven, MI 49090-1421 · (269) 214-1234 · Fax (269) 872-3625

Phone(269) 214-1234

Fax(269) 872-3625

Sole ProprietorYes

Enumeration DateAugust 17, 2009

Last NPPES UpdateJuly 7, 2015

✔ NPI 1417189929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MI · 6401011487

404 BROADWAY ST, South Haven, MI 49090

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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 Kelly Ellis's NPI number?

The NPI number for Kelly Ellis is 1417189929. It was assigned to this individual provider in the NPPES registry on August 17, 2009.

Where is Kelly Ellis located?

Kelly Ellis practices at 404 Broadway St Suite B, South Haven, MI 49090. The listed phone number is (269) 214-1234.

What is Kelly Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Kelly Ellis accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kelly Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Ellis was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.