Jason Dean Ellis, LMFT - Couples Therapy in Phoenix, AZ

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Jason Dean Ellis, LMFT is a Clinic/center - Adolescent And Children Mental Health based in Phoenix, Arizona. Jason Dean Ellis is licensed to practice in Arizona (license number OTC13694) and his current practice location is 1102 E Missouri Ave, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 999-8389.

NPI number for Jason Dean Ellis is 1720786031 and his current mailing address is 1102 E Missouri Ave, Phoenix, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720786031.

Contact Information

Jason Dean Ellis, LMFT
1102 E Missouri Ave,
Phoenix, AZ 85014-2708
(602) 999-8389
(602) 613-4165

Map and Direction


Healthcare Provider's Profile

Full NameJason Dean Ellis
GenderMale
SpecialityClinic/center - Adolescent And Children Mental Health
Location1102 E Missouri Ave, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720786031
  • Provider Enumeration Date: 02/16/2023
  • Last Update Date: 05/07/2025

Medical Identifiers

Medical identifiers for Jason Dean Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720786031NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist LMFT15837 (Arizona)Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health OTC13694 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Dean Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jason Dean Ellis, LMFT
1102 E Missouri Ave,
Phoenix, AZ 85014-2708

Ph: (602) 999-8389		Jason Dean Ellis, LMFT
1102 E Missouri Ave,
Phoenix, AZ 85014-2708

Ph: (602) 999-8389

Reviews and Comments


Clinic/Center in Phoenix, AZ


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.