Brent Ellison, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1204044 Issued in AR

Practice address

11501 Financial Centre Pkwy
Little Rock, AR 72211-3715

Phone

(501) 223-3322

Fax

(501) 223-9849

NPI assigned

May 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295992899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 FINANCIAL CENTRE PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113715",
            "telephone_number": "501-223-3322",
            "fax_number": "501-223-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 FINANCIAL CENTRE PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113715",
            "telephone_number": "501-223-3322",
            "fax_number": "501-223-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "BRENT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1204044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Ellis
• Lee Whetstone Ellis, LCSW
• Mark Bryan Ellis, OTR/L
• Rodney Ellis, OBHP
• William Patrick Ellis, PA-C
• Dale Alicia Ellison, MD
• Destiny Ellison
• Ramona Ellison, LADAC
• Jalal Philippe Elmadi-Villeda, MD
• Carlisa Elmore

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.