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

Keith Ellis

Individual provider Counselor · NPI 1194166942

Keith Ellis is a Counselor in Somerville, Massachusetts. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

11 Ward St
Somerville, MA 02143-4214
Phone: (617) 629-6790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1194166942
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 9, 2013
Last updated in NPPESJuly 9, 2013
Mailing address40 Locke St Unit 525, Haverhill, MA 01830-5503

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