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JENNIFER JEANNE ELLIS M.A.
NPI 1609180819
Counselor - Mental Health in Grand Rapids, MI

Active since July 29, 2010
7745 JONAGOLD DR SE, GRAND RAPIDS, MI 49508(616) 970-4636 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Jeanne Ellis M.a. NPPES

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

JENNIFER JEANNE ELLIS M.A. (NPI 1609180819) is an individual mental health provider in Grand Rapids, Michigan, licensed in Michigan (6401013557) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1609180819
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER JEANNE ELLISCredential: M.A.
Location Address7745 JONAGOLD DR SEGrand Rapids, MI 49508-7602
Mailing Address7745 Jonagold Dr SeGrand Rapids, MI 49508-7602 · (800) 435-2197
Phone(616) 970-4636
Sole ProprietorNo
Enumeration DateJuly 29, 2010
Last NPPES UpdateNovember 15, 2013
✔ NPI 1609180819 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 MI · 6401013557
7745 JONAGOLD DR SE, Grand Rapids, MI 49508
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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 Jennifer Ellis's NPI number?

The NPI number for Jennifer Ellis is 1609180819. It was assigned to this individual provider in the NPPES registry on July 29, 2010.

Where is Jennifer Ellis located?

Jennifer Ellis practices at 7745 Jonagold Dr SE, Grand Rapids, MI 49508. The listed phone number is (616) 970-4636.

What is Jennifer Ellis'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 Jennifer Ellis was last updated on November 15, 2013. 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.