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JEREMY ELLIS
NPI 1003369430
Counselor - Mental Health in Boulder, CO

Active since August 02, 2016
1501 YARMOUTH AVE, BOULDER, CO 80304(303) 786-9314 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremy Ellis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY ELLIS (NPI 1003369430) is an individual mental health provider in Boulder, Colorado and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1003369430
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY ELLIS
Location Address1501 YARMOUTH AVEBoulder, CO 80304-0564
Mailing Address1501 Yarmouth AveBoulder, CO 80304-0564 · (303) 786-9314
Phone(303) 786-9314
Sole ProprietorNo
Enumeration DateAugust 2, 2016
✔ NPI 1003369430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1501 YARMOUTH AVE, Boulder, CO 80304
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHARLES MEERTS-BRANDSMA
Counselor (Mental Health)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (203) 745-6825
KELLEY DAY LPC
Counselor (Mental Health)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (610) 809-6016
MICHAEL LEVY
Counselor (Professional)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (203) 668-9791
JULIE BOHLER
Counselor (Mental Health)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (303) 786-9314
CHARLES KNAPP
Counselor (Professional)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (303) 786-9314
CONNER HOLLINGSWORTH
Counselor (Mental Health)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (303) 786-9314
MS. ELLEN KNAPP MA, LPC, GCM
Counselor (Mental Health)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (303) 786-9314
MYRIAM MAIDA LPCC
Counselor (Mental Health)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (303) 786-9314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Ellis's NPI number?

The NPI number for Jeremy Ellis is 1003369430. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Jeremy Ellis located?

Jeremy Ellis practices at 1501 Yarmouth Ave, Boulder, CO 80304. The listed phone number is (303) 786-9314.

What is Jeremy Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jeremy Ellis was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.