MR. CHARLES ELLIS (NPI# 1215017009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215017009 |
| Entity Type | Individual |
| Full Name | MR. CHARLES ELLIS |
| Credential | LCSW |
| Practice Address |
5130 S. Pecos Road Suite 2b Las Vegas NV 89120 |
| Practice Telephone | 7025605973 |
| Practice Fax Number | 8887533302 |
| Mailing Telephone | 7025605973 |
| Mailing Fax Number | 8887533302 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
5980-C | NV | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 19143 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164827929 | Charles Ellis | Pharmacist | 534 S 5th St W, Missoula, MT 59801-2618 | 2014-10-22 |
| 1922230010 | Charles Carlisle Ellis | Speech-Language Pathologist | 14015 Santa Fe Ct, Bakersfield, CA 93314-8357 | 2009-08-22 |
| 1124196845 | Charles T. Ellis | Psychiatry & Neurology | 2600 Winny Ave., Helena, MT 59601 | 2006-12-01 |
| 1427131572 | Charles H. Ellis | Dentist | 6930 Cahaba Valley Rd, Suite 1, Birmingham, AL 35242-2672 | 2006-10-23 |
| 1013098698 | Charles Lee Ellis | Dentist | 1107 S Fifth St Ste 250, Mebane, NC 27302-9896 | 2006-10-18 |
| 1134165343 | Charles Michael Ellis | Physical Therapist | 2000 Berry Chase Pl, Montgomery, AL 36117-6896 | 2006-06-22 |
| 1861447088 | Charles E Ellis | Nurse Anesthetist, Certified Registered | 165 Sabal Ln, Englewood, FL 34223-5938 | 2006-05-24 |
| 1881222669 | Charles Ellis | Urology | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-03-29 |
| 1184020968 | Charles Ellis Jr. | Counselor | 5130 S Pecos Rd, Las Vegas, NV 89120-1201 | 2014-11-06 |
| 1922403450 | Charles Ellis | Physician Assistant | 1675 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2014-10-27 |
| Street Address |
5130 S. PECOS ROAD SUITE 2B |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850144 | Mental Edge Therapy Professional LLC | Psychologist | 2520 St. Rose Parkway, Suite 220-a (219), Las Vegas, NV 89120 | 2020-10-30 |
| 1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
| 1225656804 | Michael Y Chang Md PC | Anesthesiology | 2700 Sunset Rd B18, Las Vegas, NV 89120 | 2020-07-09 |
| 1053962142 | Arlene M Mcmillen | Technician | 3321 Casey Drive, Apt 104 Bldg 15, Las Vegas, NV 89120 | 2019-09-20 |
| 1942858634 | Michael A Fortunato Md Pllc | Anesthesiology | Michael A Fortunato, Md Pllc, 2700 Sunset Rd #b18, Las Vegas, NV 89120 | 2019-08-27 |
| 1023664521 | Christine White | Behavior Technician | 8431 Sunset Road, Suite 110, Henderson, NV 89120 | 2019-08-12 |
| 1922653435 | David Stefon Mayo | Technician | 3960 E. Patrick Lane, Suite 202., Las Vegas, NV 89120 | 2019-08-02 |
| 1346893724 | Joseph Acuna | Technician | 3960 E. Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-24 |
| 1588217582 | Va Natasha Manutai | Technician | 3980 E Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-18 |
| 1811557788 | Fidencia Gutierrez | Chore Provider | 2690 Chandler Ave. Ste. 1, Ste. 1, Las Vegas, NV 89120 | 2019-06-13 |
| Find all providers in zip 89120 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971414 | Oluwakemi Temitayo Obajuwonlo | Counselor | 4442 Avery Park Ave, Las Vegas, NV 89110-5488 | 2020-10-29 |
| 1275132862 | Keep Safe Wellcare Center, LLC | Counselor | 1912 Goodwill St, Apt D, Las Vegas, NV 89106-1232 | 2020-10-23 |
| 1568060796 | Rolly Taguinod Quilang | Counselor | 5346 Tipper Ave, Las Vegas, NV 89122-6966 | 2020-10-09 |
| 1255948519 | Jaafah Rashad Coppedge | Counselor | 4400 S Jones Blvd Unit 1028, Las Vegas, NV 89103-3337 | 2020-09-30 |
| 1457968570 | Deborah Ilakay Walker | Counselor | 764 E Twain Ave Apt 5b, Las Vegas, NV 89169-4125 | 2020-09-24 |
| 1912513359 | Parisa Karen Kabiri | Counselor | 6767 W Tropicana Ave #100, Las Vegas, NV 89103-8910 | 2020-09-21 |
| 1861007932 | Camry A Howard | Counselor | 3200 Arville St Apt 146, Las Vegas, NV 89102-7648 | 2020-09-14 |
| 1992319099 | Kayli Wrenn | Counselor | 7788 Peaceful Trellis Dr, Las Vegas, NV 89179-2031 | 2020-09-04 |
| 1932712809 | Williams Consultation | Counselor | 3811 W Charleston Blvd Ste 106, Las Vegas, NV 89102-1846 | 2020-08-28 |
| 1386255321 | Evolve and Heal Wellness Center | Counselor | 1024 W Owens Ave Ste 113, Las Vegas, NV 89106-2520 | 2020-08-13 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.