Carrie C Ellis, MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19019 Issued in FL

Practice address

2350 W Yamato Rd
Boca Raton, FL 33431

Phone

(646) 453-6777

NPI assigned

Mar 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1316572472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S FEDERAL HWY # 312",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833309",
            "telephone_number": "561-289-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W YAMATO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "646-453-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 W Yamato Rd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334318401",
            "country_code": "US",
            "telephone_number": "561-241-9014 x250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CARRIE",
        "middle_name": "C",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil G Elliot, O.D.
• Ashley Elliott
• Katie Elliott
• Tashana Elliott
• Zahcorrah Sadhira Ellis Noellien
• David S Ellman, MD
• Ellr, P.a. (Anxiety and OCD Treatment Center of Florida)
• Valerie Trey Elmore, APRN
• Eloquent MD FL P.a. (Eloquent MD)
• Jason Elowitz

• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.