Annette Ellison, CPC-I

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CI5020 Issued in NV

Practice address

2870 S Jones Blvd Ste 115a
Las Vegas, NV 89146-5643

Phone

(702) 755-2718

NPI assigned

Jul 16, 2021

Sex

Female

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)

Not enrolled

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 and National Provider Directory roles.

• True Life Coaching LLC

  • Professional Counselor
  • Las Vegas, NV
  • NPI 1548771454
  NPD (past)

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1679146724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6552 MOUNTAINWOOD LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031037",
            "telephone_number": "702-755-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S JONES BLVD STE 115A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465643",
            "telephone_number": "702-755-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "ANNETTE",
        "credential": "CPC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI5020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shy'Niecea Ar'Dana Ellis
• Terrance Ellis
• Tracy Ellis
• Trevor Lee Ellis
• Krystal Sommer Ellison-Smith, CADC-I
• Brandi Toi Lynn Ellison
• Christal Ellison
• Kimberly Ellison
• Lynne M Ellison, DO
• Matthew Ellison

• Professional Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.