Individual provider Active NPI

Auston James Ellis

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1194972976
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1307 N 45TH St Ste 200
Seattle, WA 98103-6741
Phone
(307) 287-5405
NPI assigned
Aug 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1307 N 45TH St Ste 200
Seattle, WA 98103-6741

Mailing address

14443 11TH Ave SW
Burien, WA 98166-1407
Phone (307) 287-5405

Other practice location 1

4045 Lake Otis Pkwy
Anchorage, AK 99508-5227
Phone (907) 762-2814

Other practice location 2

10200 NE 132nd St
Kirkland, WA 98034-2831
Phone (425) 821-2000

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1194972976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14443 11TH AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661407",
            "telephone_number": "307-287-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N 45TH ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036741",
            "telephone_number": "307-287-5405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4045 Lake Otis Pkwy",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085227",
            "country_code": "US",
            "telephone_number": "907-762-2814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10200 NE 132nd St",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980342831",
            "country_code": "US",
            "telephone_number": "425-821-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "AUSTON",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-22",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.