Individual
NATHAN CODY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
703 S AMERICANA BLVD STE 150, BOISE, ID 83702-4976
(208) 706-6375
(208) 706-6395
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 467-3391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4858
ID
101YA0400X
Addiction (Substance Use Disorder) Counselor
4858
ID
101YM0800X
Mental Health Counselor
4858
ID
101YM0800X
Mental Health Counselor
Primary
LCPC-7528
ID
101YP2500X
Professional Counselor
4858
ID
101YP2500X
Professional Counselor
LCPC-7528
ID
102L00000X
Psychoanalyst
4858
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1091972
NATIONAL BOARD OF CERTIFIED COUNSELORS INC
—
Enumeration date
07/27/2011
Last updated
06/08/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us