Ellis Professional Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCPCC00216428 Issued in KY

Legal business name

ELLIS PROFESSIONAL COUNSELING SERVICES, LLC

Doing business as

Alice Ellis, LPCC

Practice address

3651 Shepherdsville Rd
Elizabethtown, KY 42701-9511

Phone

(270) 401-5450

Fax

(270) 360-0767

NPI assigned

Sep 8, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Alice A Ellis, LPCCNPI 1053682674

Title

Authorized Agent

Phone

(270) 401-5450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALICE ELLIS, LPCC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alice A Ellis, LPCC

  • Professional Counselor
  • Elizabethtown, KY
  • NPI 1053682674
  NPD (past) Authorized official

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1679941751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 SHEPHERDSVILLE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019511",
            "telephone_number": "270-401-5450",
            "fax_number": "270-360-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 SHEPHERDSVILLE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019511",
            "telephone_number": "270-401-5450",
            "fax_number": "270-360-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS PROFESSIONAL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "270-401-5450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "LPCPCC00216428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100355870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALICE ELLIS, LPCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabethtown Radiology, P.S.C.
• Elizabethtown Rheumatology PSC
• Laine B. Elkin
• David Elliott, MD
• Patricia Elliott, PBS
• Alice A Ellis, LPCC
• Earl Edward Ellis, M.ED., LPA
• Nicole Renee Ellis, LPCC-S, NCC
• Timothy Ellis, LCSW
• Stephanie Elmore

• Professional Counselor in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.