MR. JOSHUA KYLE ELLIS LPC
NPI 1811376429
Counselor - Professional in Vidalia, GA

Q: What is Joshua Ellis's NPI number?

The NPI number for Joshua Ellis is 1811376429. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Q: What is Joshua Ellis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joshua Ellis was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 28, 2015PECOS Enrolled

500 JACKSON ST, VIDALIA, GA 30474(912) 253-8003(912) 916-0300 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Joshua Kyle Ellis Lpc NPPES

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

MR. JOSHUA KYLE ELLIS LPC (NPI 1811376429) is an individual professional provider in Vidalia, Georgia, licensed in Georgia (LPC008312) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811376429

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. JOSHUA KYLE ELLISCredential: LPC

Location Address500 JACKSON STVidalia, GA 30474-4730

Mailing Address500 Jackson StVidalia, GA 30474-4730 · (912) 253-8003 · Fax (912) 916-0300

Phone(912) 253-8003

Fax(912) 916-0300

Sole ProprietorYes

Enumeration DateMay 28, 2015

✔ NPI 1811376429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC008312

500 JACKSON ST, Vidalia, GA 30474

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Joshua Kyle Ellis Lpc 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.

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 1811376429. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Joshua Ellis located?

Joshua Ellis practices at 500 Jackson St, Vidalia, GA 30474. The listed phone number is (912) 253-8003.

What is Joshua Ellis's specialty?

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

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 May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.