ELLIS STOUT
NPI 1124379342
Counselor - Professional in Tahlequah, OK

Active since September 27, 2012
1606 E DOWNING ST, TAHLEQUAH, OK 74464(918) 453-1217(918) 453-0971 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellis Stout NPPES

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

ELLIS STOUT (NPI 1124379342) is an individual professional provider in Tahlequah, Oklahoma, licensed in Oklahoma (3039) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1124379342
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameELLIS STOUT
Location Address1606 E DOWNING STTahlequah, OK 74464-2573
Mailing Address1606 E Downing StTahlequah, OK 74464-2573 · (918) 453-1217 · Fax (918) 453-0971
Fax(918) 453-0971
Sole ProprietorNo
Enumeration DateSeptember 27, 2012
NPI 1124379342 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 OK · 3039
1606 E DOWNING ST, Tahlequah, OK 74464

Other Providers at the Same Location NPPES 11

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

Counselor (Mental Health)
1606 E DOWNING ST
TAHLEQUAH, OK 74464
Counselor (Mental Health)
1606 E DOWNING ST
TAHLEQUAH, OK 74464
Counselor (Mental Health)
1606 E DOWNING ST, #2
TAHLEQUAH, OK 74464
Counselor
1606 E DOWNING ST
TAHLEQUAH, OK 74464
Clinic/Center (Mental Health (Including Community Mental Health Center))
1606 E DOWNING ST
TAHLEQUAH, OK 74464
Counselor (School)
1606 E DOWNING ST
TAHLEQUAH, OK 74464
Counselor (Mental Health)
1606 E DOWNING ST
TAHLEQUAH, OK 74464
Counselor (Mental Health)
1606 E DOWNING ST
TAHLEQUAH, OK 74464

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 Ellis Stout's NPI number?

The NPI number for Ellis Stout is 1124379342. It was assigned to this individual provider in the NPPES registry on September 27, 2012.

Where is Ellis Stout located?

Ellis Stout practices at 1606 E Downing St, Tahlequah, OK 74464. The listed phone number is (918) 453-1217.

What is Ellis Stout's specialty?

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

When was this NPI record last updated?

The NPPES record for Ellis Stout was last updated on September 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.