Ellis Therapy & Consulting, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2011013937 Issued in MO

Legal business name

ELLIS THERAPY & CONSULTING, LLC

Practice address

7229 Woodstead CT Apt 5
Saint Louis, MO 63121-2306

Phone

(314) 459-7313

NPI assigned

Jul 2, 2013

Organization subpart

No

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

Authorized official

Name

Candace AnthonyNPI 1639474695

Title

Owner/Clinical Therapist

Phone

(314) 459-7313

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace Elis Anthony, M.ED., LPC

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1639474695
  NPD Authorized official

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1235579475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 WOODSTEAD CT APT 5",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631212306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 WOODSTEAD CT APT 5",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631212306",
            "telephone_number": "314-459-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS THERAPY & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "314-459-7313"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2011013937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Elliott
• Sean L Elliott, D.O.
• Susan Jane Elliott, DNP, APRN, FNP-C
• Ellis Dental LLC
• Ellis Sleep Center LLC
• Alysa Gail Ellis, MD
• Andrew James Ellis, M.D.
• Carol A Ellis, RN
• Christine M Ellis, FNP
• Denise Michele Ellis, P.T.

• Community/Behavioral Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.