ANDREA ELLIS LGPC – NPI #1922621051
Counselor

ANDREA ELLIS is a counselor located in MILLERSVILLE, MD. NPPES has assigned the NPI number 1922621051 to ANDREA ELLIS on May 23, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 101YM0800X from the Health Care Provider Taxonomy code set, which is classified as Counselor, specializing in Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANDREA ELLIS below.

NPI Profile for
ANDREA ELLIS

NPI Number
1922621051
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANDREA ELLIS
Credentials
LGPC
Primary location
1110 BENFIELD BLVD
MILLERSVILLE, MD 21108-2639
Phone: (410) 756-0035 Fax:
Mailing address
13115 LARCHDALE RD APT 12
LAUREL, MD 20708-1753
Phone: (240) 595-0892 Fax:
Sole Proprietor
No
Updated
Certification Date
May 23, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
101YM0800X
- Counselor / Mental Health (Primary)		 MD LGP10366

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.