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JOHN DARRIS ELLIS PMFT
NPI 1750637393
Marriage & Family Therapist in Draper, UT

Active since August 01, 2012PECOS Enrolled
721 EAST 12200 SOUTH, DRAPER, UT 84040(801) 369-8989(801) 704-9741 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Darris Ellis Pmft NPPES

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

JOHN DARRIS ELLIS PMFT (NPI 1750637393) is an individual marriage & family therapist in Draper, Utah, licensed in Wyoming (PMFT-255) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cody.

NPPES Registry Identity

NPI1750637393
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJOHN DARRIS ELLISCredential: PMFT
Location Address721 EAST 12200 SOUTHDraper, UT 84040-8404
Mailing Address672 W 400 S Ste 201Springville, UT 84663-3170 · (801) 369-8989 · Fax (307) 527-6218
Phone(801) 369-8989
Fax(801) 704-9741
Sole ProprietorYes
Enumeration DateAugust 1, 2012
Last NPPES UpdateFebruary 2, 2021
NPPES CertifiedJanuary 15, 2021
✔ NPI 1750637393 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 WY · PMFT-255
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.
721 EAST 12200 SOUTH, Draper, UT 84040
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Secondary Practice Location 1

Location 1Yellowstone behavioral Health 2538 Big Horn Ave, Cody OfficeCody, WY 82414-9299 · Phone (307) 587-2197 ext. 15 · Fax (307) 587-7638

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.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 Darris Ellis Pmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Numinus Wellness Ut Inc
29 mi
Psychiatry
672 W 400 S STE 201
Springville, UT 84663
  • Reassigned Medicare billing, Utah enrollment
  • 63 clinicians in this Medicare group
NPI 1265092282 (801) 369-8989

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

SARAH MARIE TELLESBO LCSW
Social Worker (Clinical)
721 EAST 12200 SOUTH
DRAPER, UT 84040
Davis County (801) 369-8989

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 1750637393. It was assigned to this individual provider in the NPPES registry on August 1, 2012.

Where is John Ellis located?

John Ellis practices at 721 East 12200 South, Draper, UT 84040. The listed phone number is (801) 369-8989.

What is John Ellis's specialty?

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

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 Numinus Wellness Ut Inc (Springville, UT). 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 BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and 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 February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.