Individual provider · Type 1 NPI
Ellis Johnson
Mental Health Counselor · Indianapolis, IN
NPI number
1992642821
Active
Practice location
7035 Thickett Dr
Indianapolis, IN 46254-5645
Mailing address
7035 Thickett Dr Apt 1B
Indianapolis, IN 46254-4628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1992642821
Ellis Johnson's National Provider Identifier is 1992642821, issued on Apr 29, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 29, 2026.