TIFFANY D ELLIS LPC
NPI 1083575195
Counselor - Professional in Conroe, TX

Active since November 19, 2025PECOS Enrolled
233 SGT ED HOLCOMB BLVD S, CONROE, TX 77304(936) 521-6000 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiffany D Ellis Lpc NPPES

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

TIFFANY D ELLIS LPC (NPI 1083575195) is an individual professional provider in Conroe, Texas, licensed in Texas (90811) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083575195
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY D ELLISCredential: LPC
Location Address233 SGT ED HOLCOMB BLVD SConroe, TX 77304-1990
Mailing Address233 Sgt Ed Holcomb Blvd SConroe, TX 77304-1990 · (936) 521-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
NPI 1083575195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 90811
233 SGT ED HOLCOMB BLVD S, Conroe, TX 77304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tiffany D Ellis Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789178161
PECOS Enrollment IDI20251212001548
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 20

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

Psychiatry & Neurology (Psychiatry)
233 SGT ED HOLCOMB BLVD S
CONROE, TX 77304
Counselor (Professional)
233 SGT ED HOLCOMB BLVD S
CONROE, TX 77304
Psychiatry & Neurology (Psychiatry)
233 SGT ED HOLCOMB BLVD S
CONROE, TX 77304
Counselor (Professional)
233 SGT ED HOLCOMB BLVD S
CONROE, TX 77304
Nurse Practitioner (Psychiatric/Mental Health)
233 SGT ED HOLCOMB BLVD S
CONROE, TX 77304
Nurse Practitioner (Psychiatric/Mental Health)
233 SGT ED HOLCOMB BLVD S
CONROE, TX 77304
Counselor (Professional)
233 SGT ED HOLCOMB BLVD S
CONROE, TX 77304
Counselor (Mental Health)
233 SGT ED HOLCOMB BLVD S
CONROE, TX 77304

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 Tiffany Ellis's NPI number?

The NPI number for Tiffany Ellis is 1083575195. It was assigned to this individual provider in the NPPES registry on November 19, 2025.

Where is Tiffany Ellis located?

Tiffany Ellis practices at 233 Sgt Ed Holcomb Blvd S, Conroe, TX 77304. The listed phone number is (936) 521-6000.

What is Tiffany Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tiffany Ellis enrolled in Medicare?

Yes. Tiffany Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Ellis was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.