NOLAN B ELLIS
NPI 1700587995
Counselor - Mental Health in San Rafael, CA

Q: What is Nolan Ellis's NPI number?

The NPI number for Nolan Ellis is 1700587995. It was assigned to this individual provider in the NPPES registry on March 14, 2023.

Q: What is Nolan 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 Nolan Ellis was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 14, 2023

1974 LAS GALLINAS AVE, SAN RAFAEL, CA 94903(415) 302-2344 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nolan B Ellis NPPES

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

NOLAN B ELLIS (NPI 1700587995) is an individual mental health provider in San Rafael, California, licensed in California (138041) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1700587995

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameNOLAN B ELLIS

Location Address1974 LAS GALLINAS AVESan Rafael, CA 94903-1740

Mailing Address1974 Las Gallinas AveSan Rafael, CA 94903-1740 · (415) 302-2344

Phone(415) 302-2344

Sole ProprietorYes

Enumeration DateMarch 14, 2023

NPPES CertifiedMarch 14, 2023

✔ NPI 1700587995 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 CA · 138041

1974 LAS GALLINAS AVE, San Rafael, CA 94903

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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 Nolan Ellis's NPI number?

The NPI number for Nolan Ellis is 1700587995. It was assigned to this individual provider in the NPPES registry on March 14, 2023.

Where is Nolan Ellis located?

Nolan Ellis practices at 1974 Las Gallinas Ave, San Rafael, CA 94903. The listed phone number is (415) 302-2344.

What is Nolan 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 Nolan Ellis was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.