Active NPI
Joshuah Ellis, MS, LPC
- Professional Counselor
- Lubbock, TX
National Provider Identifier
1144844994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 78013
- Practice address
- 5701 Avenue P
Lubbock, TX 79412-3674 - Phone
- (325) 899-9778
- NPI assigned
- Jun 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 78013 | TX | Primary |
Addresses
Primary practice location
5701 Avenue P
Lubbock, TX 79412-3674
Mailing address
4315 44TH St
Lubbock, TX 79413-3305
Phone (325) 899-9778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78013 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591488000000",
"number": "1144844994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4315 44TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794133305",
"telephone_number": "325-899-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 AVENUE P",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794123674",
"telephone_number": "325-899-9778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "JOSHUAH",
"name_prefix": "Mr.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-07",
"last_updated": "2020-06-07",
"certification_date": "2020-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "78013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.