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HEATHER NICOLE ELLIS
NPI 1700349198
Counselor in Princeton, WV

Active since April 11, 2019
200 12TH STREET EXT, PRINCETON, WV 24740(304) 425-9541(304) 425-1332 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heather Nicole Ellis NPPES

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

HEATHER NICOLE ELLIS (NPI 1700349198) is an individual counselor in Princeton, West Virginia, licensed in West Virginia (DP00944867) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1700349198
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameHEATHER NICOLE ELLIS
Location Address200 12TH STREET EXTPrinceton, WV 24740-2329
Mailing Address200 12th Street ExtPrinceton, WV 24740-2329 · (304) 425-9541 · Fax (304) 425-1332
Phone(304) 425-9541
Fax(304) 425-1332
Sole ProprietorNo
Enumeration DateApril 11, 2019
✔ NPI 1700349198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WV · DP00944867
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
200 12TH STREET EXT, Princeton, WV 24740
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Other Identifiers 1

Medicaid0005489001WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 20

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

TIFFANY MCGEE PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
DIANNA MICHELLE CANTRELL RBA, MS
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 436-2107
MICHAEL MEADOWS PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
CHRIS WILLIAMS PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
AMY ENGLAND
Community Health Worker
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
MICHELLE COOPER
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (276) 722-2662
MICHAEL HOLMES PR
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541
PAULINE MOUNTS LPN
Licensed Practical Nurse
200 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 425-9541

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 Heather Ellis's NPI number?

The NPI number for Heather Ellis is 1700349198. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Heather Ellis located?

Heather Ellis practices at 200 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 425-9541.

What is Heather Ellis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Heather Ellis accept?

Health plans from CareSource list Heather Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Ellis was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.