Joseph Philip Elliot, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180004111 Issued in IL

Practice address

2620 Perkins Creek Dr
Paducah, KY 42001-7494

Phone

(270) 444-8465

NPI assigned

Dec 13, 2006

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arrowleaf

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Golconda, IL
  • NPI 1538114608
  NPD (past)
• Arrowleaf

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Metropolis, IL
  • NPI 1982447975
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1255493896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 MASSAC CREEK RD",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629603124",
            "telephone_number": "270-841-0315",
            "fax_number": "618-524-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 PERKINS CREEK DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017494",
            "telephone_number": "270-444-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Red Bud Ln",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "IL",
            "postal_code": "629951792",
            "country_code": "US",
            "telephone_number": "618-658-3079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOT",
        "first_name": "JOSEPH",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0006415003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "133175100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "289899",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Anesthesia LLC
• Sarah A Ellegood
• Catherine Ruth Elleman, AU.D.
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• Tonya Ellington, P.T.
• Matthew A Elliott
• Hannah Ellis
• Connie S Ellison
• Leighann Ellison, CRNA
• Patrick K Ellison, M.D.

• Professional Counselor in Paducah, KY
• Providers in Paducah, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.