Active NPI
Ellice Lewis
- Professional Counselor
- Annapolis, MD
National Provider Identifier
1275343733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 92598
- Practice address
- 16 Francis St # 24071
Annapolis, MD 21401-1772 - Phone
- (757) 828-7337
- NPI assigned
- Jan 8, 2025
- Last updated
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 92598 | TX | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 92598 | TX | |
| Health & Wellness Coach | 171400000X | |||
| Counselor | 101Y00000X | 180017495 | IL | |
| Military Health Care Provider | 171000000X | |||
| Counselor | 101Y00000X | 01465 | RI | |
| School Counselor | 101YS0200X | 92598 | TX | |
| Professional Counselor | 101YP2500X | 92598 | TX | Primary |
| Counselor | 101Y00000X | 37PC01184800 | NJ | |
| Religious Nonmedical Practitioner | 374K00000X | |||
| Counselor | 101Y00000X | 92598 | TX | |
| Counselor | 101Y00000X | 0701011952 | VA | |
| Mental Health Counselor | 101YM0800X | 92598 | TX | |
| Counselor | 101Y00000X | 5887 | CT |
Addresses
Primary practice location
16 Francis St # 24071
Annapolis, MD 21401-1772
Mailing address
16 Francis St # 24071
Annapolis, MD 21401-1772
Phone (856) 539-4790
Other practice location 1
2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Phone (844) 843-7279
Other practice location 2
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone (323) 205-7088
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180017495 | IL | MD | Counselor |
| 37PC01184800 | NJ | MD | Counselor |
| 01465 | RI | MD | Counselor |
| 0701011952 | VA | MD | Counselor |
| 92598 | TX | MD | School Counselor |
| 5887 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1275343733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 FRANCIS ST # 24071",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011772",
"telephone_number": "856-539-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 FRANCIS ST # 24071",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011772",
"telephone_number": "757-828-7337"
}
],
"practiceLocations": [
{
"address_1": "2021 Guadalupe St Ste 260",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787055654",
"country_code": "US",
"telephone_number": "844-843-7279",
"fax_number": "720-513-5762",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5201 Great America Pkwy Ste 320",
"address_purpose": "LOCATION",
"city": "Santa Clara",
"state": "CA",
"postal_code": "950541140",
"country_code": "US",
"telephone_number": "323-205-7088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "ELLICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-08",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "TX",
"license": "92598",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "92598",
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180017495",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "RI",
"license": "01465",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "TX",
"license": "92598",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "92598",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37PC01184800",
"primary": false
},
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "92598",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701011952",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "92598",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "5887",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.