James Luther Ellison, MS

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

WP9945 Issued in SC

Practice address

33 Beacon Hill Rd
Columbia, SC 29210-5601

Phone

(803) 799-9025

Fax

(803) 931-8962

NPI assigned

Oct 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922196187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BEACON HILL RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105601",
            "telephone_number": "803-799-9025",
            "fax_number": "803-931-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BEACON HILL RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292105601",
            "telephone_number": "803-799-9025",
            "fax_number": "803-931-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "JAMES",
        "middle_name": "LUTHER",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "SC",
            "license": "WP9945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert H. Ellis Jr., DDS
• Ruth Strait Ellis, LMSW, LISW-CP, ACSW
• Sharon S Ellis, M.D.
• Theresa Denise Ellis, OTR
• Emma Grace Ellison
• Jody D Ellison, MD
• Quaneshia Ellison, RN
• Alexis Elmore
• Akram Elwan
• Embrace the Journey Counseling Services, LLC

• Intellectual & Developmental Disabilities Psychologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Intellectual & Developmental Disabilities Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.