Individual provider Active NPI

Stephanie Ellis, PH.D.

  • Counseling Psychologist
  • Houston, TX
National Provider Identifier
1376906172
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
34722 Issued in TX
Practice address
11999 Katy Fwy Ste 490
Houston, TX 77079-1608
Phone
(713) 302-6494
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 34722 TX Primary

Addresses

Primary practice location

11999 Katy Fwy Ste 490
Houston, TX 77079-1608

Mailing address

9119 Highway 6 Ste 230-483
Missouri City, TX 77459-4876
Phone (713) 302-6494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260123003404 TX Practitioner - Clinical Psychologist 5597242107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renewing Hope Counseling LLCGroup PAC ID 5597254185, 6 clinicians

Practice addresses (Care Compare)

11777 Katy Fwy
Suite 350
Houston, TX 77079-1721
Phone (713) 365-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34722TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Innova Mind and Body CurrentSince Jan 1, 2026 Accepting new patients
Renewing Hope Counseling, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

11777 Katy Fwy
Ste 350
Houston, TX 77079
Phone 7133650700409

11999 Katy Fwy
Ste 490
Houston, TX 77079
Phone (281) 597-9291

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1376906172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HIGHWAY 6 STE 230-483",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594876",
            "telephone_number": "713-302-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11999 KATY FWY STE 490",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791608",
            "telephone_number": "713-302-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "34722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.