Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Ellis, M ED, LPC

Organization Mental Health Counselor · NPI 1740687524

Jennifer Ellis, M ED, LPC is a Mental Health Counselor in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014

Practice location Address checks out

464 Parker Ave
Philadelphia, PA 19128-4402
Phone: (609) 413-6089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PC006176 (PA)

Record details

NPI number1740687524
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Ellis — Licensed Professional Counselor · (609) 413-6089
NPI enumeratedNovember 23, 2014
Last updated in NPPESNovember 23, 2014
Mailing address464 Parker Ave, Philadelphia, PA 19128-4402

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