Jason Ellis, LMFT
Jason Ellis, LMFT is a provider specialising in Adolescent and Children Mental Health Clinic/Center in Phoenix, AZ, registered under NPI 1720786031. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1102 E MISSOURI AVE, Phoenix, AZ 85014. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| OTC13694 | AZ | Adolescent and Children Mental Health… primary |
| LMFT15837 | AZ | Marriage & Family Therapist |
This provider holds licence OTC13694 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Adolescent and Children Mental Health covers
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. NUCC Health Care Provider Taxonomy, code 261QM0855X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | OTC13694 | AZ | primary |
| 106H00000X | Marriage & Family Therapist | LMFT15837 | AZ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1720786031 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 16, 2023 |
| Last updated | May 7, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | LMFT |
| Practice address |
1102 E MISSOURI AVE Phoenix, AZ 85014 (602) 999-8389 Fax (602) 613-4165 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 2 | 0 | 7 | 8 | 6 | 0 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 4 | 0 | 5 | 8 | 3 | 0 | 6 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.