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CHRYSTAL JEAN ELLIS
NPI 1427528751
Counselor - Addiction (Substance Use Disorder) in Salem, OR

Active since November 29, 2018
1011 COMMERCIAL ST NE STE 110, SALEM, OR 97301(503) 983-9900(503) 983-9899 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2023, Sep 30, 2020, Nov 29, 2018 (3 updates tracked since 2018).

About Chrystal Jean Ellis NPPES

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

CHRYSTAL JEAN ELLIS (NPI 1427528751) is an individual addiction (substance use disorder) provider in Salem, Oregon and active in the NPI registry since November 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427528751
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCHRYSTAL JEAN ELLIS
Location Address1011 COMMERCIAL ST NE STE 110Salem, OR 97301-1036
Mailing Address1011 Commercial St Ne Ste 110Salem, OR 97301-1036 · (503) 983-9900 · Fax (503) 983-9899
Phone(503) 983-9900
Fax(503) 983-9899
Sole ProprietorNo
Enumeration DateNovember 29, 2018
Last NPPES UpdateOctober 5, 20233 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1427528751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedPeer SpecialistTaxonomy 175T00000X
1011 COMMERCIAL ST NE STE 110, Salem, OR 97301
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Secondary Practice Locations 2

Location 11160 Liberty St SESalem, OR 97302-4143 · Phone (503) 391-9762 · Fax (503) 315-2019
Location 2213 NE 10th StMcMinnville, OR 97128-4825 · Phone (503) 895-0934

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TANNITH MCNEEL CRM
Peer Specialist
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
JOEL P SELWYN CRM
Peer Specialist
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
WILLIAM G GRAYSON CADC I/QMHA
Counselor (Addiction (Substance Use Disorder))
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
LYNETTE CAREEN BLOOM CADC I
Counselor (Addiction (Substance Use Disorder))
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
MANYA B HELMAN MD
Family Medicine (Addiction Medicine)
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
JEFFREY C RENNA PAC
Physician Assistant (Medical)
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
LAURA MICHIELSEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900
DR. JAMES ROBERT LAIDLER M.D.
Anesthesiology (Addiction Medicine)
1011 COMMERCIAL ST NE STE 110
SALEM, OR 97301
Marion County (503) 983-9900

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 Chrystal Ellis's NPI number?

The NPI number for Chrystal Ellis is 1427528751. It was assigned to this individual provider in the NPPES registry on November 29, 2018.

Where is Chrystal Ellis located?

Chrystal Ellis practices at 1011 Commercial St NE Ste 110, Salem, OR 97301. The listed phone number is (503) 983-9900.

What is Chrystal 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 Chrystal Ellis was last updated on October 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.