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JOHN THOMAS ELLIS
NPI 1194420430
Counselor - Mental Health in Englewood, CO

Active since April 04, 2023PECOS Enrolled
10206 TALIESIN DR APT 302, ENGLEWOOD, CO 80112(505) 948-8712 Get Directions Write a Review

NPPES record last updated: July 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Thomas Ellis NPPES

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

JOHN THOMAS ELLIS (NPI 1194420430) is an individual mental health provider in Englewood, Colorado, licensed in Colorado (LPCC.0020599) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194420430
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN THOMAS ELLIS
Location Address10206 TALIESIN DR APT 302Englewood, CO 80112-5419
Mailing Address10206 Taliesin Dr Apt 302Englewood, CO 80112-5419 · (505) 948-8712
Phone(505) 948-8712
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateJuly 26, 2025
NPPES CertifiedJuly 26, 2025
✔ NPI 1194420430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · LPCC.0020599
10206 TALIESIN DR APT 302, Englewood, CO 80112
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Thomas Ellis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315418548
PECOS Enrollment IDI20260608004084
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.

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 John Ellis's NPI number?

The NPI number for John Ellis is 1194420430. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is John Ellis located?

John Ellis practices at 10206 Taliesin Dr Apt 302, Englewood, CO 80112. The listed phone number is (505) 948-8712.

What is John Ellis's specialty?

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

Is John Ellis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Ellis was last updated on July 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.