ELLIETON BOBBY LEWIS
NPI 1487203469
Counselor in Miami Gardens, FL

Active since September 11, 2019
1825 NW 167TH ST, MIAMI GARDENS, FL 33056(786) 263-3392(305) 623-7893 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellieton Bobby Lewis NPPES

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

ELLIETON BOBBY LEWIS (NPI 1487203469) is an individual counselor in Miami Gardens, Florida and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1487203469
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameELLIETON BOBBY LEWIS
Location Address1825 NW 167TH STMiami Gardens, FL 33056-4838
Mailing Address1825 Nw 167th StMiami Gardens, FL 33056-4838 · (786) 263-3392 · Fax (305) 623-7893
Fax(305) 623-7893
Sole ProprietorYes
Enumeration DateSeptember 11, 2019
NPI 1487203469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1825 NW 167TH ST, Miami Gardens, FL 33056

Other Identifiers 1

Medicaid1891859575FL

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
1825 NW 167TH ST, SUITE 102
MIAMI GARDENS, FL 33056
Behavior Analyst
1825 NW 167TH ST, SUITE #102
MIAMI GARDENS, FL 33056
Case Manager/Care Coordinator
1825 NW 167TH ST
MIAMI GARDENS, FL 33056
Counselor (Mental Health)
1825 NW 167TH ST, SUITE #102
OPA LOCKA, FL 33056
Counselor (Mental Health)
1825 NW 167TH ST
MIAMI GARDENS, FL 33056
Counselor (Mental Health)
1825 NW 167TH ST, SUITE 102
MIAMI GARDENS, FL 33056
Counselor (Mental Health)
1825 NW 167TH ST
MIAMI GARDENS, FL 33056
Health Maintenance Organization
1825 NW 167TH ST, SUITE #102
OPA LOCKA, FL 33056

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 Ellieton Lewis's NPI number?

The NPI number for Ellieton Lewis is 1487203469. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Ellieton Lewis located?

Ellieton Lewis practices at 1825 NW 167th St, Miami Gardens, FL 33056. The listed phone number is (786) 263-3392.

What is Ellieton Lewis's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ellieton Lewis was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.