Paula Maria Ellis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

5819 Julian Ave
Saint Louis, MO 63112-2503

Phone

(314) 239-3618

Fax

(314) 389-0579

NPI assigned

Dec 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346305927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 JULIAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122503",
            "telephone_number": "314-239-3618",
            "fax_number": "314-389-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 JULIAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631122503",
            "telephone_number": "314-239-3618",
            "fax_number": "314-389-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "PAULA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jabon L Ellis, D.O.
• Kathryn Gail Ellis, MSW
• Katrece Levoy Ellis, CRNA
• Lisa Ellis
• Mattalue Ellis, M.A.
• Ramsey A Ellis, M.D.
• Shelnise Ellis
• Sherry Lynne Ellis
• Sophia Ellis
• Tiffany Ellis

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.