Individual provider Active NPI

Wanda Ellis, PH.D.

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1841949385
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80758 Issued in TX
Practice address
1934 Caroline St
Houston, TX 77002-8210
Phone
(713) 286-6000
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 80758 TX Primary

Addresses

Primary practice location

1934 Caroline St
Houston, TX 77002-8210

Mailing address

1934 Caroline St
Houston, TX 77002-8210
Phone (346) 509-1013

Other identifiers 1

IdentifierTypeStateIssuer
373188702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260202003022 TX Practitioner - Mental Health Counselor 3971081720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1934 Caroline St
Houston, TX 77002-8210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
80758TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Abound in Hope Counseling, LLC Mental Health Current Accepting new patients
Healthcare for the Homeless-Houston CurrentSince Dec 14, 2025 Accepting new patients
Healthcare for the Homeless-Houston CurrentSince Dec 14, 2025 Accepting new patients
Gdi Enterprise PastSince Jan 8, 2023 Accepting new patients

Locations

1934 Caroline St
Houston, TX 77002
Phone (713) 286-6000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1841949385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028210",
            "telephone_number": "346-509-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028210",
            "telephone_number": "713-286-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "WANDA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373188702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.