P Praxis·MD
● Active Type 1 · Individual

Angela Lynn Ellis

Counselor·Meridian, ID· NPI 1114806262 · Enumerated 2025 · 0 years on NPI
Ellis is 1 of 43 counselor providers in Meridian and 1 of 545 in Idaho.
NPI age
— years
Enumerated 2025-09-01
Primary specialty
Counselor
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 545 active counselor providers in Idaho.

NPI age
0 years
↓ 8 yr below median (8 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-09Enumerated in NPPES
2025 2026

Where they practice

Practice location
1548 W Cayuse Creek Dr Ste 100
Meridian, ID 836464795
📞 2086002072
Mailing address
770 W Tanzanite Dr
Kuna, ID 836345635
📞 2089124626

Specialties

  • Counselor Primary
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    taxonomy 101Y00000X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Meridian in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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