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

Mikal Ellis

Individual provider Counselor · NPI 1912605213

Mikal Ellis is a Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
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Practice location Address checks out

2551 N 16th St
Philadelphia, PA 19132-3908
Phone: (215) 800-8031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1912605213
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 16, 2023
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

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