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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHAN CODY ELLIS, LCPC

Active

NATHAN CODY ELLIS, LCPC is a Mental Health Counselor healthcare provider located in BOISE, Idaho. NPI 1154609998 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · BOISE, ID

Registration Details

NPI Number
1154609998
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2011 (15.023987888793 yrs)
Last Updated
Jun 8, 2022
Licenses
4858 (ID)
4858 (ID)
4858 (ID)
LCPC-7528 (ID)
4858 (ID)

Practice Information

Address
703 S AMERICANA BLVD STE 150
BOISE, ID, 837024976
Browse ID providers · Browse ZIP 83702
Phone
2087066375
Fax
2087066395
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Additional Specialty
Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Professional Counselor

Other Mental Health Counselor Providers in BOISE, ID

Name Credential NPI
MRS. ROSEMARY LADACY LUQUE LCPC 1245225879
MR. RAY EDWARD CAMMACK M. ED., LCPC 1528055399
MR. STEPHEN JOHN SCHRADER LPCP 1932160660
MARLYS ANN BORRESON L.C.P.C. 1659334944
LADESSA FOSTER LCPC 1417997123
MS. JENNIFER CONLEY COCHERN M. COUN 1053339366
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.