Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Audrene Ellis, PHD

Individual provider Counselor · NPI 1366105207

Audrene Ellis, PHD is a Mental Health Counselor in Little Rock, Arkansas. Qualified in 2019, 7 years ago. Practices with Wellspring Renewal Center, a 6-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
7
Licensed in
AR
In the registry since
2021
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

101 N Woodrow St
Little Rock, AR 72205-4341
Phone: (501) 265-0046
Fax: (501) 663-2234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P2211007 (AR)
Counselor Taxonomy 101Y00000X · Licence P2211007 (AR)

Record details

NPI number1366105207
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 18, 2021
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wellspring Renewal Center — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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