Bret L. Ellard, M.ED.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC 1300 Issued in OK

Practice address

1 W 10TH St
Shawnee, OK 74801-6801

Phone

(405) 275-2222

Fax

(405) 275-7740

NPI assigned

Aug 5, 2006

Last updated

Feb 13, 2014By the provider in NPPES

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

Opted out of Medicare

Yes, effective May 24, 2024 through May 24, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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

• Center for Christian Counseling and Care PLLC

  • Marriage & Family Therapist
  • Shawnee, OK
  • NPI 1528300209

  Professional

  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1508875022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W 10TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016801",
            "telephone_number": "405-275-2222",
            "fax_number": "405-275-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W 10TH ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748016801",
            "telephone_number": "405-275-2222",
            "fax_number": "405-275-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLARD",
        "first_name": "BRET",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "LPC 1300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Oklahoma Radiation Associates, LLC
• Breanna Rochelle Edenborough, PT
• Daniel Kent Edwards II, LMFT
• Shariff Mohammed El-Assi, BHRS
• Melissa R Elder, LMSW
• Whitney Rhea Elliott, BA
• Renalla Kaye Ellis, DDS
• Tessa Ellyson, COTA/L
• Karley Rian English
• Julianne Ennis

• Professional Counselor in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.