MR. JAMES RANDALL ELLIS MA, LMHC
NPI 1942709191
Counselor - Mental Health in Spokane, WA

Active since February 02, 2018PECOS Enrolled
4001 N COOK ST STE 900, SPOKANE, WA 99207(509) 483-3427(509) 482-4040 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2022, Jan 26, 2021 (2 updates tracked since 2021).

About Mr. James Randall Ellis Ma, Lmhc NPPES

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

MR. JAMES RANDALL ELLIS MA, LMHC (NPI 1942709191) is an individual mental health provider in Spokane, Washington, licensed in Washington (LH61039976) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942709191
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JAMES RANDALL ELLISCredential: MA, LMHC
Location Address4001 N COOK ST STE 900Spokane, WA 99207-5879
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395 · Fax (509) 865-0757
Fax(509) 482-4040
Sole ProprietorNo
Enumeration DateFebruary 2, 2018
Last NPPES UpdateNovember 7, 20222 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
✔ NPI 1942709191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61039976
4001 N COOK ST STE 900, Spokane, WA 99207

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. James Randall Ellis Ma, Lmhc 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 James Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
4001 N COOK ST
Spokane, WA 99207
  • Reassigned Medicare billing, Washington enrollment
  • 252 clinicians in this Medicare group

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 9

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

Nurse Practitioner
4001 N COOK ST STE 900
SPOKANE, WA 99207
Physician Assistant
4001 N COOK ST STE 900
SPOKANE, WA 99207
Pediatrics
4001 N COOK ST STE 900
SPOKANE, WA 99207
Counselor (Mental Health)
4001 N COOK ST STE 900
SPOKANE, WA 99207
Nurse Practitioner (Psychiatric/Mental Health)
4001 N COOK ST STE 900
SPOKANE, WA 99207
Nurse Practitioner (Psychiatric/Mental Health)
4001 N COOK ST STE 900
SPOKANE, WA 99207
Pharmacist
4001 N COOK ST STE 900
SPOKANE, WA 99207
Pharmacist
4001 N COOK ST STE 900
SPOKANE, WA 99207

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 James Ellis's NPI number?

The NPI number for James Ellis is 1942709191. It was assigned to this individual provider in the NPPES registry on February 2, 2018.

Where is James Ellis located?

James Ellis practices at 4001 N Cook St Ste 900, Spokane, WA 99207. The listed phone number is (509) 483-3427.

What is James Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is James Ellis enrolled in Medicare?

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

Which organization bills Medicare for James Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Ellis reassigns Medicare benefits to Yakima Valley Farm Workers Clinic (Spokane, WA). 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 James Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Ellis accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list James 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 James Ellis was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.