MRS. ANDREA DENO ELLIS M.A., L.P.C
NPI 1093953101
Counselor - Professional in San Antonio, TX

Active since January 27, 2009Opted out of Medicare · through Jun 18, 2028
21714 HARDY OAK, SUITE # 100, SAN ANTONIO, TX 78258(210) 497-2880(210) 497-7664 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Andrea Deno Ellis M.a., L.p.c NPPES

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

MRS. ANDREA DENO ELLIS M.A., L.P.C (NPI 1093953101) is an individual professional provider in San Antonio, Texas, licensed in Texas (62163) and active in the NPI registry since January 2009. She has opted out of Medicare through June 18, 2028.

NPPES Registry Identity

NPI1093953101
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ANDREA DENO ELLISCredential: M.A., L.P.C
Location Address21714 HARDY OAK, SUITE # 100San Antonio, TX 78258-4838
Mailing Address21714 Hardy Oak, Suite # 100San Antonio, TX 78258-4838 · (210) 497-2880 · Fax (210) 497-7664
Fax(210) 497-7664
Sole ProprietorYes
Enumeration DateJanuary 27, 2009
NPI 1093953101 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 · 62163
21714 HARDY OAK, San Antonio, TX 78258

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Andrea Deno Ellis M.a., L.p.c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 18, 2024 through June 18, 2028.

Opt-Out Effective DateJune 18, 2024
Opt-Out In Effect ThroughJune 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
21714 HARDY OAK, STE. 101
SAN ANTONIO, TX 78258
Marriage & Family Therapist
21714 HARDY OAK, SUITE 104
SAN ANTONIO, TX 78258
Dentist (Orthodontics and Dentofacial Orthopedics)
21714 HARDY OAK, SUITE 102
SAN ANTONIO, TX 78258
Counselor (Professional)
21714 HARDY OAK, SUITE 104
SAN ANTONIO, TX 78258
Counselor (Professional)
21714 HARDY OAK, SUITE 100
SAN ANTONIO, TX 78258

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 Andrea Ellis's NPI number?

The NPI number for Andrea Ellis is 1093953101. It was assigned to this individual provider in the NPPES registry on January 27, 2009.

Where is Andrea Ellis located?

Andrea Ellis practices at 21714 Hardy Oak Suite # 100, San Antonio, TX 78258. The listed phone number is (210) 497-2880.

What is Andrea Ellis's specialty?

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

Is Andrea Ellis enrolled in Medicare?

No. Andrea Ellis has opted out of Medicare through June 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Andrea Ellis was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.