1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Counselor
  6. NPI Profile

EVYN ELLIS LPC
NPI 1821352022
Counselor - Professional in Fort Worth, TX

Active since July 02, 2012PECOS Enrolled
3840 HULEN ST, FORT WORTH, TX 76107(817) 569-4600 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evyn Ellis Lpc NPPES

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

EVYN ELLIS LPC (NPI 1821352022) is an individual professional provider in Fort Worth, Texas, licensed in Texas (72335) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1821352022
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEVYN ELLISCredential: LPC
Location Address3840 HULEN STFort Worth, TX 76107-7277
Mailing AddressPo Box 2603Fort Worth, TX 76113-2603 · (817) 569-4600
Phone(817) 569-4600
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 2, 2012
Last NPPES UpdateMarch 14, 2017
✔ NPI 1821352022 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 TX · 72335
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 11299 (TX)
3840 HULEN ST, Fort Worth, TX 76107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID446747893
PECOS Enrollment IDI20251017002101
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 Evyn Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

My Health My Resources Of Tarrant County
Same address
Psychiatry
3840 HULEN ST, HTN, CLIENT ACCOUNTING
Fort Worth, TX 76107
  • Reassigned Medicare billing, Texas enrollment
  • 165 clinicians in this Medicare group
NPI 1952423782 (817) 569-4396

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 20

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

ALLISON CONKLIN RDLD
Dietitian, Registered
3840 HULEN ST
FORT WORTH, TX 76107
Tarrant County (817) 569-4300
COLLEEN CASEY JOHNSON LCDC
Counselor (Addiction (Substance Use Disorder))
3840 HULEN ST
FORT WORTH, TX 76107
Tarrant County (817) 335-3022
LAUREN ELIZABETH GALIPP OT
Occupational Therapist
3840 HULEN ST
FORT WORTH, TX 76107
Tarrant County (817) 335-3022
BRENDA FRAME RN
Registered Nurse
3840 HULEN ST
FORT WORTH, TX 76107
Tarrant County (817) 569-4300
DAVID WALDROP
Social Worker
3840 HULEN ST
FORT WORTH, TX 76107
Tarrant County (817) 569-5545
KENDRA SHEPHERD
Registered Nurse
3840 HULEN ST
FORT WORTH, TX 76107
Tarrant County (817) 569-4300
BETH ANN OWENS RN
Registered Nurse
3840 HULEN ST
FORT WORTH, TX 76107
Tarrant County (817) 335-3022
BONNESHA JOYCE DEVER RN
Registered Nurse
3840 HULEN ST
FORT WORTH, TX 76107
Tarrant County (817) 335-3022

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 Evyn Ellis's NPI number?

The NPI number for Evyn Ellis is 1821352022. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Evyn Ellis located?

Evyn Ellis practices at 3840 Hulen St, Fort Worth, TX 76107. The listed phone number is (817) 569-4600.

What is Evyn Ellis's specialty?

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

Is Evyn Ellis enrolled in Medicare?

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

Which organization bills Medicare for Evyn Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evyn Ellis reassigns Medicare benefits to My Health My Resources Of Tarrant County (Fort Worth, TX). 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 Evyn Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evyn Ellis accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and Molina Healthcare and 1 other insurer list Evyn 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 Evyn Ellis was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.