JOSHUA DAVID ELLIS
NPI 1285156869
Marriage & Family Therapist in Jacksonville, FL

Active since July 14, 2017PECOS Enrolled
12530 ROCK ROSE LN, JACKSONVILLE, FL 32225(925) 487-5370 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Aug 16, 2022, Oct 30, 2018 and 1 more (4 updates tracked since 2017).

About Joshua David Ellis NPPES

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

JOSHUA DAVID ELLIS (NPI 1285156869) is an individual marriage & family therapist in Jacksonville, Florida, licensed in California (127125) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285156869
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJOSHUA DAVID ELLIS
Location Address12530 ROCK ROSE LNJacksonville, FL 32225-4217
Mailing Address12530 Rock Rose LnJacksonville, FL 32225-4217
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 14, 2017
Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
NPI 1285156869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 127125
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
12530 ROCK ROSE LN, Jacksonville, FL 32225

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID840713376
PECOS Enrollment IDI20260105002392
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 Joshua Ellis's NPI number?

The NPI number for Joshua Ellis is 1285156869. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is Joshua Ellis located?

Joshua Ellis practices at 12530 Rock Rose Ln, Jacksonville, FL 32225. The listed phone number is (925) 487-5370.

What is Joshua Ellis's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Joshua Ellis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joshua Ellis was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.