Daniel William Ellis, M.S. L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2007014539 Issued in MO

Practice address

1736 E Sunshine St
Plaza Towers Suite 811
Springfield, MO 65804-1343

Phone

(417) 882-4485

Fax

(417) 882-5517

NPI assigned

Aug 24, 2009

Last updated

Aug 24, 2009By 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

Other identifiers 1

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": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1962635060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 E SUNSHINE ST",
            "address_2": "PLAZA TOWERS SUITE 811",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041343",
            "telephone_number": "417-882-4485",
            "fax_number": "417-882-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E SUNSHINE ST",
            "address_2": "PLAZA TOWERS SUITE 811",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041343",
            "telephone_number": "417-882-4485",
            "fax_number": "417-882-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DANIEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "M.S. L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2007014539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR LICENSE NUMBER",
            "identifier": "2007014539",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bentley J Elliott, BCBA
• James M Elliott, CRNA
• Jessica M Ellis-Hall, PSYD, PLP
• Joan Ellis-Young, LPC
• Anjuli Ellis, FNP
• Diane Marlene Ellis, PSY.D., LP
• Jeffrey Christian Ellis, PA-C
• Jessica Ellis, MHS, CCC-SLP
• Keith W. Ellis, MD
• Kelsey Ellis, DO

• Professional Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.