Provider Demographics
NPI:1952923435
Name:HONSA, ELLEN SCAGEL (LMHC)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:SCAGEL
Last Name:HONSA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ELLEN
Other - Middle Name:MARIE
Other - Last Name:SCAGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:42 WICKMAN DR
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-1874
Mailing Address - Country:US
Mailing Address - Phone:978-608-8795
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 26
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-0026
Practice Address - Country:US
Practice Address - Phone:978-608-8795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-07
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health