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

Mr. Martin Ellis Jr., CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1518659234

Mr. Martin Ellis Jr., CDCA is an Addiction (Substance Use Disorder) Counselor in Maumee, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1655 Holland Rd Ste F
Maumee, OH 43537-1656
Phone: (833) 510-4357
Fax: (866) 460-2997
Show map & directions

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

Additional practice locations (1)

  • 115 S Reynolds Rd Ste C, Toledo, OH 43615-6958 — (419) 725-6631

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.187515 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.182995 (OH)

Record details

NPI number1518659234
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

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