Mr Martin Ellis Jr, CDCA - Counselor in Toledo, OH

Mr Martin Ellis Jr, CDCA is a Counselor - Addiction (substance Use Disorder) based in Toledo, Ohio. Mr Martin Ellis Jr is licensed to practice in Ohio (license number CDCA.187515) and his current practice location is 115 S Reynolds Rd Ste C, Toledo, Ohio. He can be reached at his office (for appointments etc.) via phone at (419) 725-6631.

NPI number for Mr Martin Ellis Jr is 1518659234 and his current mailing address is 115 S Reynolds Rd Ste C, Toledo, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518659234.

Contact Information

Mr Martin Ellis Jr, CDCA
115 S Reynolds Rd Ste C,
Toledo, OH 43615-6958
(419) 725-6631
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Martin Ellis Jr
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location115 S Reynolds Rd Ste C, Toledo, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518659234
  • Provider Enumeration Date: 05/22/2023
  • Last Update Date: 04/24/2024

Medical Identifiers

Medical identifiers for Mr Martin Ellis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518659234NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) CDCA.182995 (Ohio)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) CDCA.187515 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Martin Ellis Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Martin Ellis Jr, CDCA
115 S Reynolds Rd Ste C,
Toledo, OH 43615-6958

Ph: (419) 725-6631
Mr Martin Ellis Jr, CDCA
115 S Reynolds Rd Ste C,
Toledo, OH 43615-6958

Ph: (419) 725-6631

Reviews and Comments


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