IndividualActive
Jody Ellison
NPI 1205640679 · Community/Behavioral Health Agency · Bellevue, NE
Provider details
- NPI number
- 1205640679
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
- Community Health Worker172V00000X
Other Service Providers
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5129 Galloway St
Bellevue, NE 68157-2422
Phone: (402) 201-0868
Street-level locationGet directions
Mailing address
5129 Galloway St
Bellevue, NE 68157-2422
Registry dates
- Enumerated
- 2025-02-05
- Last updated
- 2025-02-05
- Certified
- 2025-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.