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

Ellis Edmunds

Individual provider Counselor · NPI 1740595768

Ellis Edmunds is a Counselor in Oakland, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

4243 Terrace St
Oakland, CA 94611-5127
Phone: (510) 919-8366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5478a College Ave, Oakland, CA 94618 — (510) 473-5083
  • 2500 Bissell Ave, Richmond, CA 94804-1815 — (510) 235-1516

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY27058 (CA)
Counselor Taxonomy 101Y00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740595768
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 13, 2010
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020

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