Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHLEEN ELLIS, PHD, LADC, LPC
Active Sole ProprietorDR. KATHLEEN ELLIS, PHD, LADC, LPC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in NEW LONDON, Connecticut. NPI 1679902316 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · NEW LONDON, CT
Registration Details
- NPI Number
- 1679902316
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2013 (12.75810651683 yrs)
- Last Updated
- Sep 10, 2025
- Licenses
-
000903 (CT)002541 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
365 MONTAUK AVENEW LONDON, CT, 063204700Browse CT providers · Browse ZIP 06320
- Phone
- 8602714271
- Fax
- 8604445107
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Professional Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in NEW LONDON, CT
| Name | Credential | NPI |
|---|---|---|
| JOSEPH W GREEN | LADC | 1780748897 |
| MR. THOMAS M. GREANEY | LADC, LCDP | 1881893105 |
| DR. GEORGE MCGWAINE WALKER | PHD, LPC, NCC | 1275899692 |
| MR. GERALD WAGNER JR. | LADC | 1962759084 |
| MS. BARBARA A GOTAY MATTHEW | LADC | 1730421793 |
| DONNA ELIZABETH MEDINA | LADC | 1275007353 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.