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Active NPI 1194929562 Individual Practitioner Female Practitioner

Debra Kay Ellis , LPC, LBSW, ACBSW

Counselor - Professional • Ft Worth, TX

Professional Overview & Biography Verified Profile Summary

Debra Ellis, LPC, LBSW, ACBSW is a registered healthcare professional specializing in Counselor - Professional in Ft Worth, TX. Practice services are available at 4388 W VICKERY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4388 W Vickery Blvd

Ft Worth, TX 761076339

Telephone 8179967548

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Ft Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Ft Worth, TX (21203 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 63387

Definition to come...

Social Worker - School

NUCC Taxonomy Code: 1041S0200X

State License TX 015218

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 26, 2015

NPI status registered as active in NPPES database

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Updated Practice Location June 26, 2015

Registered at 4388 W VICKERY BLVD, FT WORTH, TX 761076339 (Tel: 8179967548)

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Updated Business Mailing Address June 26, 2015

Registered at 4388 W VICKERY BLVD, FT WORTH, TX 761076339 (Tel: 8179967548)

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Provider Name / Credentials Updated June 26, 2015

Recorded as DEBRA ELLIS, LPC, LBSW,ACBSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2015

Counselor (License #63387 in TX)

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Initial NPI Registration & Enumeration June 12, 2007

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: 1194929562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2007
Last Update: June 26, 2015
Sole Proprietor: Yes

Mailing Address

4388 W Vickery Blvd

Ft Worth, TX 761076339

Phone: 8179967548

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.