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

Mrs. Kristina Nicole Ellen, LPCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1588906242

Mrs. Kristina Nicole Ellen, LPCA is an Addiction (Substance Use Disorder) Counselor in Shallotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

712 Village Rd SW Ste 106
Shallotte, NC 28470-3448
Phone: (910) 754-2273
Fax: (910) 754-2254
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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 A10093 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence A10093 (NC)

Record details

NPI number1588906242
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCA
Sole proprietorNo
NPI enumeratedMarch 20, 2013
Last updated in NPPESMarch 20, 2013

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