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Active NPI 1497648125 Individual Practitioner Female Practitioner

Candis Ann Ellis , CLC, CLE, CCCB

Counselor - Professional • Logan, UT

Professional Overview & Biography Verified Profile Summary

Candis Ellis, CLC, CLE, CCCB is a registered healthcare professional specializing in Counselor - Professional in Logan, UT. Practice services are available at 225 N QUAIL WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

225 N Quail Way

Logan, UT 843216705

Telephone 8017917519

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Logan, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
11 Specialists

Practicing in Logan, UT (520 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2025-06-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License UT 316222

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 02, 2025

NPI status registered as active in NPPES database

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Updated Practice Location June 02, 2025

Registered at 225 N QUAIL WAY, LOGAN, UT 843216705 (Tel: 8017917519)

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Updated Business Mailing Address June 02, 2025

Registered at 225 N QUAIL WAY, LOGAN, UT 843216705 (Tel: 8017917519)

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Provider Name / Credentials Updated June 02, 2025

Recorded as CANDIS ELLIS, CLC, CLE, CCCB

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2025

Counselor (License #316222 in UT)

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Initial NPI Registration & Enumeration June 02, 2025

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: 1497648125
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2025
Last Update: June 02, 2025
Sole Proprietor: No

Mailing Address

225 N Quail Way

Logan, UT 843216705

Phone: 8017917519

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.