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

Joshua David Ellis

Individual provider Marriage & Family Therapist · NPI 1285156869

Joshua David Ellis is a Marriage and Family Therapist in Jacksonville, Florida. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

12530 Rock Rose Ln
Jacksonville, FL 32225-4217
Phone: (925) 487-5370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 127125 (CA)

Record details

NPI number1285156869
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 14, 2017
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address12530 Rock Rose Ln, Jacksonville, FL 32225-4217

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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