NPIMap

Organization Active NPI

David Ellis, LPC, LLC

  • Professional Counselor
  • Golden, CO
National Provider Identifier
1669632238
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3230 Issued in CO
Legal business name
DAVID ELLIS, LPC, LLC
Practice address
2801 Youngfield St
Ste 300
Golden, CO 80401-2263
Phone
(303) 205-8468
NPI assigned
Jun 16, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
David Ellis, LPCNPI 1255524062
Title
Primary
Phone
(303) 205-8468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3230 CO Primary

Addresses

Primary practice location

2801 Youngfield St
Ste 300
Golden, CO 80401-2263

Mailing address

2801 Youngfield St
Ste 300
Golden, CO 80401-2263
Phone (303) 205-8468

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1669632238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST",
            "address_2": "STE 300",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012263",
            "telephone_number": "303-205-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST",
            "address_2": "STE 300",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012263",
            "telephone_number": "303-205-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ELLIS, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRIMARY",
        "authorized_official_telephone_number": "303-205-8468",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "3230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.