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

Jeremy Ellis

Individual provider Mental Health Counselor · NPI 1003369430

Jeremy Ellis is a Mental Health Counselor in Boulder, Colorado. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1501 Yarmouth Ave
Boulder, CO 80304-0564
Phone: (303) 786-9314
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1003369430
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2016
Last updated in NPPESAugust 2, 2016

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