Earl Edward Ellis, M.ED., LPA
NPI 1013111459ActiveIndividual· Psychologist· Elizabethtown, KY
Psychologist (M.ED., LPA) with Commonwealth of Kentucky, practicing in Elizabethtown, Kentucky. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1013111459 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.ED., LPA |
| Sole proprietor | No |
| NPI issued | Jun 11, 2007 |
| Last updated in NPPES | Aug 29, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 0952 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (KY) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Commonwealth of KentuckyLouisville, KY · 27 clinicians
Other Psychologist providers in Elizabethtown
- 1841399789
- 1568415024
- 1235239849
- 1518700400
- 1205090800
- 1275570152