Keasha T Walton Ellis, PAY.D

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

5120 Issued in NV

Practice address

8455 Offenhauser Dr Apt 1218
Reno, NV 89511

Phone

(775) 484-6195

Fax

(916) 473-5766

NPI assigned

May 27, 2009

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Metamorphosis Life Coaching Lounge LLC

  • Marriage & Family Therapist
  • Reno, NV
  • NPI 1548106586

  Mental Health

  NPD Authorized official
• Alta Vista Mental Health LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1992134472

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1720213374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 OFFENHAUSER DR APT 1218",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111754",
            "telephone_number": "775-484-6195",
            "fax_number": "916-473-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 OFFENHAUSER DR APT 1218",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-484-6195",
            "fax_number": "916-473-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON ELLIS",
        "first_name": "KEASHA",
        "middle_name": "T",
        "credential": "PAY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "5120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justina Walter
• Sabrina Walter
• Joann Walters
• Sarah Jean Walters
• Tori Walters
• Ana Walton
• Daniel K. Walton, DDS
• Madison Walton, SLP
• Sarah Geo Walton, GBCE
• Vanessa Walton, LMSW

• Marriage & Family Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.