Candis Ann Ellis, CLC, CLE, CCCB

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

316222 Issued in UT

Practice address

225 N Quail Way
Logan, UT 84321-6705

Phone

(801) 791-7519

NPI assigned

Jun 2, 2025

Last updated

Jun 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1497648125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N QUAIL WAY",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216705",
            "telephone_number": "801-791-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N QUAIL WAY",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216705",
            "telephone_number": "801-791-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CANDIS",
        "middle_name": "ANN",
        "credential": "CLC, CLE, CCCB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "316222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin C Egbert, DPT, PT
• Kasey Egbert, DPT
• Elevated Perspective
• Elite Physical Therapy and Wellness
• Madison Jo Elliott
• Jeremy W Ellis, D.D.S.
• Kevin Mark Ellsworth, O.D.
• Anne W. Elsweiler
• Embracing Authenticity Inc (New Beginnings Therapy)
• Empower Therapy Services LLC

• Professional Counselor in Logan, UT
• Providers in Logan, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.