Ellis, Nathan Cody
Ellis, Nathan Cody is an individual health care provider with primary practice located at 703 S Americana Blvd Ste 150 , Boise ID 83702-4976. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychoanalyst. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Ellis, Nathan Cody can be contacted via phone (208) 706-6375.Contact Information
Primary practice address
703 S Americana Blvd Ste 150
Boise ID 83702-4976
Phone: (208) 706-6375
Fax: (208) 706-6395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4858 | Idaho |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4858 | Idaho |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 4858 | Idaho |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCPC-7528 | Idaho |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4858 | Idaho |
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | 4858 | Idaho |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC-7528 | Idaho |
Profile Details
| NPI number | 1154609998 |
|---|---|
| LBN Legal business name | Ellis, Nathan Cody |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2011 |
| Last updated | Jun 8th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154609998 | NPPES |
| Other | 1091972 | NATIONAL BOARD OF CERTIFIED COUNSELORS INC |
Popular Providers
-
Schrader, Stephen John
2316 N Cole Rd Suite E, Boise ID 83704 -
Houston, Rebecca Lee
750 Warm Springs Ave Ste F , Boise ID 83712-6457 -
Foster, Ladessa Kaye
720 W Washington St , Boise ID 83702-5535 -
Myers, Julia Rose
2500 W Kootenai St , Boise ID 83705-2408 -
Eisenbeiss, Michael John
315 N Allembaugh , Boise ID 83704 -
Murphy, Susan D
6140 W Emerald St , Boise ID 83704-8857 -
Raney, Robin Elaine
6140 W Emerald St , Boise ID 83704-8857 -
Mccoy, Michael S
5440 W Franklin Rd Ste 101, Boise ID 83705-1079