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: August 09, 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
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

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 (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.

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.

Dietitian, Registered
3840 HULEN ST
FORT WORTH, TX 76107
Counselor (Addiction (Substance Use Disorder))
3840 HULEN ST
FORT WORTH, TX 76107
Occupational Therapist
3840 HULEN ST
FORT WORTH, TX 76107
Registered Nurse
3840 HULEN ST
FORT WORTH, TX 76107
Social Worker
3840 HULEN ST
FORT WORTH, TX 76107
Registered Nurse
3840 HULEN ST
FORT WORTH, TX 76107
Registered Nurse
3840 HULEN ST
FORT WORTH, TX 76107
Registered Nurse
3840 HULEN ST
FORT WORTH, TX 76107

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.

What insurance does Evyn Ellis accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas 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.