Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821352022 Individual Practitioner Female Practitioner

Evyn Ellis , LPC

Counselor - Professional • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Evyn Ellis, LPC is a certified Counselor - Professional practicing in Fort Worth, TX. With approximately 13 years of clinical experience since completing medical education in 2013, Evyn Ellis delivers high-quality medical care to the local community at 3840 HULEN ST.

Evyn Ellis does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3840 Hulen St

Fort Worth, TX 761077277

Telephone 8175694600
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fort Worth, TX

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -1.9 yrs vs City Avg
City Avg: 14.9 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
783 Specialists

Practicing in Fort Worth, TX (21203 Statewide)

Telehealth Adoption Rate
2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ellis (13 Years) 13 Yrs
Fort Worth Specialty Average (14.9 Years) 14.9 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 72335

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License TX 11299

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Elizabeth Ogunseyitan

Licensed Vocational Nurse

NPI 1427602366
David Welsh , LCSW

Social Worker - Clinical

NPI 1780079574

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2017

Registered at 3840 HULEN ST, FORT WORTH, TX 761077277 (Tel: 8175694600)

📍
Updated Business Mailing Address March 14, 2017

Registered at PO BOX 2603, FORT WORTH, TX 761132603 (Tel: 8175694600)

👤
Provider Name / Credentials Updated March 14, 2017

Recorded as EVYN ELLIS, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2017

Counselor (License #11299 in TX)

NPI Profile Active July 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2012

Registered at 2700 AIRPORT FWY, FORT WORTH, TX 761112332 (Tel: 8173326329)

📍
Updated Business Mailing Address July 02, 2012

Registered at 2700 AIRPORT FWY, FORT WORTH, TX 761112332 (Tel: 8173326329)

👤
Provider Name / Credentials Updated July 02, 2012

Recorded as EVYN ELLIS, LCDC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2012

Counselor (License #11299 in TX)

🟢
Initial NPI Registration & Enumeration July 02, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821352022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2012
Last Update: March 14, 2017
Sole Proprietor: Yes

Mailing Address

Po Box 2603

Fort Worth, TX 761132603

Phone: 8175694600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.