MS. MARLENE S ELLIS LISW
NPI 1619008505
Counselor - Mental Health in Fremont, OH

Q: What is Marlene Ellis's NPI number?

The NPI number for Marlene Ellis is 1619008505. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Q: What is Marlene Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Marlene Ellis was last updated on July 8, 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.

Active since March 09, 2007

212 S PARK AVE, FREMONT, OH 43420(419) 332-4722(419) 334-8590 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Marlene S Ellis Lisw NPPES

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

MS. MARLENE S ELLIS LISW (NPI 1619008505) is an individual mental health provider in Fremont, Ohio, licensed in Ohio (I-0007955) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1619008505

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. MARLENE S ELLISCredential: LISW

Location Address212 S PARK AVEFremont, OH 43420-2954

Mailing Address212 S Park AveFremont, OH 43420-2954 · (419) 332-4722 · Fax (419) 334-8590

Phone(419) 332-4722

Fax(419) 334-8590

Sole ProprietorYes

Enumeration DateMarch 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619008505 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 OH · I-0007955

212 S PARK AVE, Fremont, OH 43420

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Other Identifiers 3

Other000000372656OH · Anthem

Medicare ID-Type UnspecifiedELSW29711OH

Other5889631OH · Aetna

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 Marlene Ellis's NPI number?

The NPI number for Marlene Ellis is 1619008505. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Marlene Ellis located?

Marlene Ellis practices at 212 S Park Ave, Fremont, OH 43420. The listed phone number is (419) 332-4722.

What is Marlene 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 Marlene Ellis was last updated on July 8, 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.