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

Earl Edward Ellis, MED, LPA

Individual provider Psychologist · NPI 1013111459

Earl Edward Ellis, MED, LPA is a Clinical Psychologist in Elizabethtown, Kentucky. Qualified in 2009, 17 years ago. Practices with Commonwealth of Kentucky, a 28-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
17
Licensed in
KY
In the registry since
2007
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

890 Rineyville Rd
Elizabethtown, KY 42701-8927 Not confirmed with CMS for 13 years — call before visiting
Phone: (270) 234-9236
Fax: (270) 234-8367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 0952 (KY)

Record details

NPI number1013111459
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , LPA
Sole proprietorNo
NPI enumeratedJune 11, 2007
Last updated in NPPESAugust 29, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Commonwealth Of Kentucky — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Commonwealth of Kentucky

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 28 clinicians in the practice; 12 are shown here.

Other providers in Elizabethtown