AUDRENE ELLIS PHD
NPI 1366105207
Counselor - Professional in Little Rock, AR

Active since October 18, 2021PECOS EnrolledAccepts Medicare Assignment
101 N WOODROW ST, LITTLE ROCK, AR 72205(501) 265-0046(501) 663-2234 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2022, Oct 20, 2021 (2 updates tracked since 2021).

About Audrene Ellis Phd NPPES

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

AUDRENE ELLIS PHD (NPI 1366105207) is an individual professional provider in Little Rock, Arkansas, licensed in Arkansas (P2211007) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366105207
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAUDRENE ELLISCredential: PHD
Location Address101 N WOODROW STLittle Rock, AR 72205-4341
Mailing Address101 N Woodrow StLittle Rock, AR 72205-4341 · (501) 265-0046 · Fax (501) 265-0057
Fax(501) 663-2234
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 18, 2021
Last NPPES UpdateJanuary 31, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2024
NPI 1366105207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AR · P2211007
Also ListedCounselorTaxonomy 101Y00000X · License P2211007 (AR)
101 N WOODROW ST, Little Rock, AR 72205

Other Names 1

Former Name (1)Dr. Audren Janelle Ellis Phd

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Audrene Ellis Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537506951
PECOS Enrollment IDI20240321001021
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.

Other Providers at the Same Location NPPES 8

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

Counselor (Mental Health)
101 N WOODROW ST
LITTLE ROCK, AR 72205
Social Worker (Clinical)
101 N WOODROW ST
LITTLE ROCK, AR 72205
Counselor (Mental Health)
101 N WOODROW ST
LITTLE ROCK, AR 72205
Social Worker
101 N WOODROW ST
LITTLE ROCK, AR 72205
Social Worker (Clinical)
101 N WOODROW ST
LITTLE ROCK, AR 72205
Social Worker (Clinical)
101 N WOODROW ST
LITTLE ROCK, AR 72205
Counselor (Professional)
101 N WOODROW ST
LITTLE ROCK, AR 72205
Counselor (Mental Health)
101 N WOODROW ST
LITTLE ROCK, AR 72205

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 Audrene Ellis's NPI number?

The NPI number for Audrene Ellis is 1366105207. It was assigned to this individual provider in the NPPES registry on October 18, 2021. The provider is also known as Dr. Audren Janelle Ellis Phd.

Where is Audrene Ellis located?

Audrene Ellis practices at 101 N Woodrow St, Little Rock, AR 72205. The listed phone number is (501) 265-0046.

What is Audrene Ellis's specialty?

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

Is Audrene Ellis enrolled in Medicare?

Yes. Audrene Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Audrene Ellis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Audrene 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 Audrene Ellis was last updated on January 31, 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.