Jeffrey K. Ellens, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001132 Issued in IA

Practice address

106 E Babcock St Ste 1B
Bozeman, MT 59715-4820

Phone

(406) 577-2410

Fax

(406) 573-1070

NPI assigned

May 22, 2012

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Jeffrey K. Ellens, PH.D. PLC

  • Counseling Psychologist
  • Bozeman, MT
  • NPI 1093102741

  Clinical

  NPD
• Courageous Minds Counseling

  • Community/Behavioral Health Agency
  • West Des Moines, IA
  • NPI 1053881821
  NPD (past)
• MJC Therapeutic Counseling Services LLC

  • Clinical Social Worker
  • Windsor Heights, IA
  • NPI 1518328988
  NPD (past)

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1487914586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E BABCOCK ST STE 1B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154820",
            "telephone_number": "406-577-2410",
            "fax_number": "406-573-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E BABCOCK ST STE 1B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154820",
            "telephone_number": "406-577-2410",
            "fax_number": "406-573-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENS",
        "first_name": "JEFFREY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Chiropractic Limited Liability Company
• Elizabeth Angwin LCSW LLC
• Kelsey Lau Elkins, APRN FNP
• Krista Lena Elkins, RN
• Markie Ell
• Rebecca Faith Ellens, DNP, APRN, CPNP-PC
• Ellie Brennan Nutrition Counseling
• Derek Ellingsen
• Danika Delich Ellington, PT
• Kirsten Elliott

• All providers in Bozeman, MT
• Clinical Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.