JENNIFER ELLIS, M.ED, LPC
NPI 1740687524
Counselor - Mental Health in Philadelphia, PA

Active since November 23, 2014
464 PARKER AVE, PHILADELPHIA, PA 19128(609) 413-6089 Get Directions Write a Review

NPPES record last updated: November 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Ellis, M.ed, Lpc NPPES

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

JENNIFER ELLIS, M.ED, LPC (NPI 1740687524) is a healthcare organization registered as a mental health in Philadelphia, Pennsylvania and active in the NPI registry since November 2014. The organization lists Jennifer Marie Ellis, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1740687524
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameJENNIFER ELLIS, M.ED, LPC
Location Address464 PARKER AVEPhiladelphia, PA 19128-4402
Mailing Address464 Parker AvePhiladelphia, PA 19128-4402 · (609) 413-6089
Organization SubpartNo
Authorized OfficialJennifer Marie EllisLicensed Professional Counselor · (609) 413-6089
Enumeration DateNovember 23, 2014
NPI 1740687524 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 PA · PC006176
464 PARKER AVE, Philadelphia, PA 19128

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, M.Ed, Lpc's NPI number?

The NPI number for Jennifer Ellis, M.Ed, Lpc is 1740687524. It was assigned to this organization in the NPPES registry on November 23, 2014.

Where is Jennifer Ellis, M.Ed, Lpc located?

Jennifer Ellis, M.Ed, Lpc is located at 464 Parker Ave, Philadelphia, PA 19128. The listed phone number is (609) 413-6089.

What is Jennifer Ellis, M.Ed, Lpc'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, M.Ed, Lpc was last updated on November 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.