Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON DEAN ELLIS, LMFT
Active Sole ProprietorJASON DEAN ELLIS, LMFT is a Adolescent and Children Mental Health Clinic healthcare provider located in PHOENIX, Arizona. NPI 1720786031 is currently active in the NPPES registry. Verify at CMS.
Adolescent and Children Mental Health Clinic · PHOENIX, AZ
Registration Details
- NPI Number
- 1720786031
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2023 (3.4579868845914 yrs)
- Last Updated
- May 7, 2025
- Licenses
-
LMFT15837 (AZ)OTC13694 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1102 E MISSOURI AVEPHOENIX, AZ, 850142708Browse AZ providers · Browse ZIP 85014
- Phone
- 6029998389
- Fax
- 6026134165
- Primary Specialty
-
Adolescent and Children Mental Health Clinic
261QM0855X
- Additional Specialty
- Adolescent and Children Mental Health Clinic
Other Adolescent and Children Mental Health Clinic Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. MAURIE S COMENZO | PHD, LPC, ABCAC | 1356712772 |
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.