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MR. STEVEN MARK ELLSWORTH LADC/MH
NPI 1194562264
Counselor - Mental Health in Edmond, OK

Active since July 15, 2024
800 MYRTLE DR, EDMOND, OK 73034(405) 517-7243 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Steven Mark Ellsworth Ladc/mh NPPES

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

MR. STEVEN MARK ELLSWORTH LADC/MH (NPI 1194562264) is an individual mental health provider in Edmond, Oklahoma, licensed in Oklahoma (1367) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1194562264
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. STEVEN MARK ELLSWORTHCredential: LADC/MH
Location Address800 MYRTLE DREdmond, OK 73034-4639
Mailing AddressPo Box 2468Edmond, OK 73083-2468 · (405) 517-7243
Phone(405) 517-7243
Sole ProprietorYes
Enumeration DateJuly 15, 2024
NPPES CertifiedJuly 15, 2024
✔ NPI 1194562264 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 OK · 1367
800 MYRTLE DR, Edmond, OK 73034
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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 Steven Ellsworth's NPI number?

The NPI number for Steven Ellsworth is 1194562264. It was assigned to this individual provider in the NPPES registry on July 15, 2024.

Where is Steven Ellsworth located?

Steven Ellsworth practices at 800 Myrtle Dr, Edmond, OK 73034. The listed phone number is (405) 517-7243.

What is Steven Ellsworth's specialty?

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

When was this NPI record last updated?

The NPPES record for Steven Ellsworth was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.