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

Jason Ellis

Individual provider Peer Specialist · NPI 1578924858

Jason Ellis is a Peer Specialist in Lake Elsinore, California. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3

Practice location Address checks out

31764 Casino Dr Ste 300
Lake Elsinore, CA 92530-2312
Phone: (951) 471-4645
Show map & directions

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

Additional practice locations (1)

  • 68615 Perez Rd, Cathedral City, CA 92234-7200 — (760) 770-2442

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Peer Specialist Taxonomy 175T00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1578924858
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2016
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address31764 Casino Dr Ste 300, Lake Elsinore, CA 92530-2312

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