IndividualActive
Jeremy Ellis
NPI 1003369430 · Mental Health Counselor · Boulder, CO
Jeremy Ellis is a Mental Health Counselor provider in Boulder, CO (NPI 1003369430).
Provider details
- NPI number
- 1003369430
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1501 Yarmouth Ave
Boulder, CO 80304-0564
Phone: (303) 786-9314
Street-level locationGet directions
Mailing address
1501 Yarmouth Ave
Boulder, CO 80304-0564
Registry dates
- Enumerated
- 2016-08-02
- Last updated
- 2016-08-02
Frequently asked questions
- What is Jeremy Ellis's NPI number?
- Jeremy Ellis's National Provider Identifier (NPI) is 1003369430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Ellis's specialty?
- Jeremy Ellis is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jeremy Ellis located?
- Jeremy Ellis's practice location on file with NPPES is 1501 Yarmouth Ave, Boulder, CO 80304-0564.
- What is Jeremy Ellis's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Ellis is (303) 786-9314.
- Is Jeremy Ellis's NPI active?
- Yes — Jeremy Ellis's NPI (1003369430) is active in the NPPES registry as of the last update on 2016-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.