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

Nathan Cody Ellis, LCPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1154609998

Nathan Cody Ellis, LCPC is a Mental Health Counselor in Boise, Idaho. Qualified in 2011, 15 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2011
Specialties on file
7
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

703 S Americana Blvd Ste 150
Boise, ID 83702-4976
Phone: (208) 706-6375
Fax: (208) 706-6395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 S 23rd St, Boise, ID 83702-9100 — (208) 344-3512

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC-7528 (ID)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 4858 (ID)
Mental Health Counselor Taxonomy 101YM0800X · Licence 4858 (ID)
Counselor Taxonomy 101Y00000X · Licence 4858 (ID)
Professional Counselor Taxonomy 101YP2500X · Licence LCPC-7528 (ID)
Professional Counselor Taxonomy 101YP2500X · Licence 4858 (ID)
Psychoanalyst Taxonomy 102L00000X · Licence 4858 (ID)

Record details

NPI number1154609998
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJuly 27, 2011
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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