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MARIAH ASHLEY ELLIS LADC, LSW
NPI 1700439403
Counselor - Addiction (Substance Use Disorder) in Fergus Falls, MN

Active since July 22, 2019
530 W FIR AVE, FERGUS FALLS, MN 56537(218) 998-8166(218) 998-8150 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2024, Oct 10, 2022, Aug 13, 2020 and 1 more (4 updates tracked since 2019).

About Mariah Ashley Ellis Ladc, Lsw NPPES

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

MARIAH ASHLEY ELLIS LADC, LSW (NPI 1700439403) is an individual addiction (substance use disorder) provider in Fergus Falls, Minnesota, licensed in Minnesota (305466) and active in the NPI registry since July 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700439403
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARIAH ASHLEY ELLISCredential: LADC, LSW
Location Address530 W FIR AVEFergus Falls, MN 56537-1364
Mailing Address568 Westview AveFergus Falls, MN 56537-1354 · (218) 205-6483
Phone(218) 998-8166
Fax(218) 998-8150
Sole ProprietorNo
Enumeration DateJuly 22, 2019
Last NPPES UpdateJuly 8, 20244 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1700439403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 305466
530 W FIR AVE, Fergus Falls, MN 56537
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1721 S Minnesota StCrookston, MN 56716-1800 · Phone (218) 281-9511
Location 21 Serenity LnCoburg, OR 97408-9350 · Phone (541) 687-1110 ext. 8708

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.

MICHELLE FISCHER
Case Manager/Care Coordinator
530 W FIR AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 998-8148
MEGAN ELIZABETH ADAMS LSW
Case Manager/Care Coordinator
530 W FIR AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 998-3500
OTTER TAIL COUNTY HUMAN SERVICES
Private Vehicle
530 W FIR AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 998-8150

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 Mariah Ellis's NPI number?

The NPI number for Mariah Ellis is 1700439403. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Mariah Ellis located?

Mariah Ellis practices at 530 W Fir Ave, Fergus Falls, MN 56537. The listed phone number is (218) 998-8166.

What is Mariah Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mariah Ellis was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.