EARL EDWARD ELLIS M.ED., LPA
NPI 1013111459
Psychologist in Elizabethtown, KY

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
890 RINEYVILLE RD, ELIZABETHTOWN, KY 42701(270) 234-9236(270) 234-8367 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Earl Edward Ellis M.ed., Lpa NPPES

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

EARL EDWARD ELLIS M.ED., LPA (NPI 1013111459) is an individual psychologist in Elizabethtown, Kentucky, licensed in Kentucky (0952) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1013111459
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameEARL EDWARD ELLISCredential: M.ED., LPA
Location Address890 RINEYVILLE RDElizabethtown, KY 42701-8927
Mailing Address890 Rineyville RdElizabethtown, KY 42701-8927 · (270) 234-9236 · Fax (270) 234-8367
Fax(270) 234-8367
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 11, 2007
Last NPPES UpdateAugust 29, 2013
NPI 1013111459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in KY · 0952
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
890 RINEYVILLE RD, Elizabethtown, KY 42701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Earl Edward Ellis M.ed., Lpa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557608866
PECOS Enrollment IDI20190124001944
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

Specialist
890 RINEYVILLE RD
ELIZABETHTOWN, KY 42701
Psychologist (Clinical)
890 RINEYVILLE RD
ELIZABETHTOWN, KY 42701

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 Earl Ellis's NPI number?

The NPI number for Earl Ellis is 1013111459. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Earl Ellis located?

Earl Ellis practices at 890 Rineyville Rd, Elizabethtown, KY 42701. The listed phone number is (270) 234-9236.

What is Earl Ellis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Earl Ellis enrolled in Medicare?

Yes. Earl Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Earl Ellis was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.