Joey Wayne Ellis, MA, LPC
Individual provider Active NPI Mental Health Counselor · Kempner, TX
NPI 1003353772 · NPPES record last updated Jan 19, 2017
Key facts
- NPI
- 1003353772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 73744 (TX)
- Practice address
- 2688 Snow Rd
Kempner, TX 76539-6838 - Phone
- (254) 415-5270
- NPI assigned
- Jan 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73744 | TX | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 73744 | TX | Yes |
Addresses
Primary practice location
2688 Snow Rd
Kempner, TX 76539-6838
Mailing address
2688 Snow Rd
Kempner, TX 76539-6838
Phone (254) 415-5270
Other providers in Kempner, TX
- Kereishah Charles
- Misty Classen
- Clear Connections Counseling PLLC
- Dr Donald Wayne Hopkins
- Danielle Alexandria Drakeford
- Embers of Hope Therapy, PLLC
- Cynthia Fritz
- Julie Furtado
- Robert Eugene Gorton Jr.
- Cynthia Ruth Graves
All providers in Kempner, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.