National Provider Identifier
Johnathan Patrick Elliott, MS, NCC, CCTP
Johnathan Patrick Elliott, MS, NCC, CCTP is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Webster, NY and a listed phone number of (585) 347-1045.
Profile Overview
- NPI
- 1043684640
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- November 19, 2015
- Last Updated
- November 19, 2015
Practice Location
- 860 Hard RD
- Webster, NY 14580-8825
Phone: (585) 347-1045
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1043684640
- Entity Type
- Individual
- Last Name
- Elliott
- First Name
- Johnathan
- Middle Name
- Patrick
- Name Prefix
- Mr.
- Credential
- MS, NCC, CCTP
- Mailing Street Address
- 860 Hard RD
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-8825
- Mailing Country
- US
- Mailing Phone
- (585) 347-1045
- Mailing Fax
- (585) 347-1277
- Practice Street Address
- 860 Hard RD
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-8825
- Practice Country
- US
- Practice Phone
- (585) 347-1045
- Practice Fax
- (585) 347-1277
- Enumeration Date
- November 19, 2015
- Last Updated
- November 19, 2015
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)