ELLIS THERAPY & FITNESS
NPI 1548674203
Social Worker - Clinical in Prairie View, IL

Active since June 19, 2014
16595 W EASTON AVE, PRAIRIE VIEW, IL 60069(847) 242-1669(815) 524-2271 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellis Therapy & Fitness NPPES

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

ELLIS THERAPY & FITNESS (NPI 1548674203), doing business as Debra Ellis Therapy Services, is a healthcare organization registered as a clinical in Prairie View, Illinois and active in the NPI registry since June 2014. The organization lists Debra Ellis, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1548674203
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameELLIS THERAPY & FITNESS
Location Address16595 W EASTON AVEPrairie View, IL 60069-2744
Mailing Address16595 W Easton AvePrairie View, IL 60069-2744 · (847) 242-1669 · Fax (815) 524-2271
Fax(815) 524-2271
Organization SubpartNo
Authorized OfficialDebra EllisLicensed Clinical Social Worker · (847) 242-1669
Enumeration DateJune 19, 2014
NPI 1548674203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149013439
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
16595 W EASTON AVE, Prairie View, IL 60069

Other Names 1

Former Legal Business NameDebra Ellis Therapy Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
16595 W EASTON AVE
LINCOLNSHIRE, IL 60069
Counselor (Professional)
16595 W EASTON AVE
LINCOLNSHIRE, IL 60069
Social Worker (Clinical)
16595 W EASTON AVE
LINCOLNSHIRE, IL 60069
Social Worker (Clinical)
16595 W EASTON AVE
LINCOLNSHIRE, IL 60069
Counselor (Professional)
16595 W EASTON AVE, 1ST FLOOR
PRAIRIE VIEW, IL 60069

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 Ellis Therapy & Fitness's NPI number?

The NPI number for Ellis Therapy & Fitness is 1548674203. It was assigned to this organization in the NPPES registry on June 19, 2014. The provider was formerly known as Debra Ellis Therapy Services.

Where is Ellis Therapy & Fitness located?

Ellis Therapy & Fitness is located at 16595 W Easton Ave, Prairie View, IL 60069. The listed phone number is (847) 242-1669.

What is Ellis Therapy & Fitness's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Ellis Therapy & Fitness was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.