JOHN THOMAS ELLIS
NPI 1194420430
Counselor - Mental Health in Englewood, CO
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Thomas Ellis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenwood Village, CO 80111
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Mindful Therapy Group Of Colorado, PC
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for John Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Ellis reassigns Medicare benefits to Mindful Therapy Group Of Colorado, P.C. (Greenwood Village, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Ellis accept?
Health plans from Select Health list John Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Ellis was last updated on July 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# John Thomas Ellis · NPI 1194420430
Mental Health provider in Englewood, Colorado. Individual provider, active in the CMS NPPES registry since April 4, 2023.
## Identity
- **NPI:** 1194420430 (Entity type: Individual)
- **Enumerated:** April 4, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPCC.0020599 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10206 TALIESIN DR APT 302, Englewood, CO 80112-5419
- **Phone:** (505) 948-8712
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mindful Therapy Group Of Colorado, P.C. (NPI 1700676905, Greenwood Village, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1194420430) · Data from the CMS NPPES public registry.