Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194166942 Individual Practitioner Male Practitioner

Keith Ellis

Counselor • Somerville, MA

Professional Overview & Biography Verified Profile Summary

Keith Ellis is a registered healthcare professional specializing in Counselor in Somerville, MA. Practice services are available at 11 WARD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11 Ward St

Somerville, MA 021434214

Telephone 6176296790

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Somerville, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
70 Specialists

Practicing in Somerville, MA (9162 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
NPI 1003334335
Baihe Cui

Counselor - Mental Health

NPI 1003709213
NPI 1013312578
Theresa Majewski

Counselor - Mental Health

NPI 1033038443
NPI 1043588056
Laura Gomez Machiavelo

Social Worker - Clinical

NPI 1063947745

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2013

Registered at 11 WARD ST, SOMERVILLE, MA 021434214 (Tel: 6176296790)

📍
Updated Business Mailing Address July 09, 2013

Registered at 40 LOCKE ST UNIT 525, HAVERHILL, MA 018305503

👤
Provider Name / Credentials Updated July 09, 2013

Recorded as KEITH ELLIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2013

Counselor

🟢
Initial NPI Registration & Enumeration July 09, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194166942
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2013
Last Update: July 09, 2013
Sole Proprietor: No

Mailing Address

40 Locke St Unit 525

Haverhill, MA 018305503

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.