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

Jason Dean Ellis, LMFT

Individual provider Marriage & Family Therapist · NPI 1720786031

Jason Dean Ellis, LMFT is a Marriage & Family Therapist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

See every abbreviation used in this directory →

Practice location Address checks out

1102 E Missouri Ave
Phoenix, AZ 85014-2708
Phone: (602) 999-8389
Fax: (602) 613-4165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X · Licence OTC13694 (AZ)
Marriage & Family Therapist Taxonomy 106H00000X · Licence LMFT15837 (AZ)

Record details

NPI number1720786031
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorYes
NPI enumeratedFebruary 16, 2023
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

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