MARINA J. ELLIS LCPC
NPI 1528107158
Counselor - Professional in Pocatello, ID

Active since February 06, 2007
427 N ARTHUR AVE STE B, POCATELLO, ID 83204(208) 637-0334(208) 237-9670 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marina J. Ellis Lcpc NPPES

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

MARINA J. ELLIS LCPC (NPI 1528107158) is an individual professional provider in Pocatello, Idaho, licensed in Idaho (LCPC303) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1528107158
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARINA J. ELLISCredential: LCPC
Location Address427 N ARTHUR AVE STE BPocatello, ID 83204-3006
Mailing AddressPo Box 5474Chubbuck, ID 83202-0003 · (208) 637-0334 · Fax (208) 237-9670
Fax(208) 237-9670
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1528107158 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 ID · LCPC303
427 N ARTHUR AVE STE B, Pocatello, ID 83204

Other Identifiers 1

OtherQ3717ID · Blue Cross

Other Providers at the Same Location NPPES 3

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

Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
427 N ARTHUR AVE STE B
POCATELLO, ID 83204
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
427 N ARTHUR AVE STE B
POCATELLO, ID 83204
Nurse Practitioner (Psychiatric/Mental Health)
427 N ARTHUR AVE STE B
POCATELLO, ID 83204

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 Marina Ellis's NPI number?

The NPI number for Marina Ellis is 1528107158. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Marina Ellis located?

Marina Ellis practices at 427 N Arthur Ave Ste B, Pocatello, ID 83204. The listed phone number is (208) 637-0334.

What is Marina Ellis's specialty?

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

When was this NPI record last updated?

The NPPES record for Marina Ellis was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.