JACQUELINE KIRSTEN ELLIS LICSW
NPI 1952060188
Counselor - Mental Health in Landover, MD

Q: What is Jacqueline Ellis's NPI number?

The NPI number for Jacqueline Ellis is 1952060188. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Q: What is Jacqueline 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 Jacqueline Ellis was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 15, 2021

721 BAIN DR APT 211, LANDOVER, MD 20785(202) 489-2858 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacqueline Kirsten Ellis Licsw NPPES

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

JACQUELINE KIRSTEN ELLIS LICSW (NPI 1952060188) is an individual mental health provider in Landover, Maryland, licensed in District Of Columbia (LC50081444) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1952060188

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACQUELINE KIRSTEN ELLISCredential: LICSW

Location Address721 BAIN DR APT 211Landover, MD 20785-5971

Mailing Address721 Bain Dr Apt 211Landover, MD 20785-5971 · (202) 489-2858

Phone(202) 489-2858

Sole ProprietorYes

Enumeration DateDecember 15, 2021

NPPES CertifiedDecember 15, 2021

✔ NPI 1952060188 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 DC · LC50081444

721 BAIN DR APT 211, Landover, MD 20785

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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 Jacqueline Ellis's NPI number?

The NPI number for Jacqueline Ellis is 1952060188. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Where is Jacqueline Ellis located?

Jacqueline Ellis practices at 721 Bain Dr Apt 211, Landover, MD 20785. The listed phone number is (202) 489-2858.

What is Jacqueline Ellis's specialty?

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

What insurance does Jacqueline Ellis accept?

Health plans from Blue Cross and Blue Shield of Texas list Jacqueline 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 Jacqueline Ellis was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.