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MR. KERMIT J ELLISON
NPI 1013354463
Counselor - Mental Health in Hanover Park, IL

Active since May 24, 2013
1240 BAMBURG CT, HANOVER PARK, IL 60133(630) 372-6599(630) 372-6697 Get Directions Write a Review

NPPES record last updated: May 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kermit J Ellison NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KERMIT J ELLISON (NPI 1013354463) is an individual mental health provider in Hanover Park, Illinois, licensed in Illinois (180006226) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1013354463
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KERMIT J ELLISON
Location Address1240 BAMBURG CTHanover Park, IL 60133-5243
Mailing Address1240 Bamburg CtHanover Park, IL 60133-5243 · (630) 372-6599 · Fax (630) 372-6697
Phone(630) 372-6599
Fax(630) 372-6697
Sole ProprietorYes
Enumeration DateMay 24, 2013
✔ NPI 1013354463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180006226
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 2482622 (IL)
1240 BAMBURG CT, Hanover Park, IL 60133
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL JAN HOLLAND LCPC
Counselor (Mental Health)
1240 BAMBURG CT
HANOVER PARK, IL 60133
Dupage County (630) 372-6599
MS. PHYLLIS K. SIEBERT LCPC, CADC
Counselor (Professional)
1240 BAMBURG CT
HANOVER PARK, IL 60133
Dupage County (630) 372-6599
MRS. STEPHANIE LYNN BRITTON LPC
Counselor (Professional)
1240 BAMBURG CT
HANOVER PARK, IL 60133
Dupage County (630) 372-6599
MS. SUSAN KAY SAVAGE LCPC
Counselor (Professional)
1240 BAMBURG CT
HANOVER PARK, IL 60133
Dupage County (630) 372-6599
JAMES B THOMSON LCPC
Counselor (Professional)
1240 BAMBURG CT, SUITE 3A
HANOVER PARK, IL 60133
Dupage County (630) 372-6599
MR. DAVID M GURSKY PH D
Psychologist (Clinical)
1240 BAMBURG CT
HANOVER PARK, IL 60133
Dupage County (630) 372-6599

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kermit Ellison's NPI number?

The NPI number for Kermit Ellison is 1013354463. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is Kermit Ellison located?

Kermit Ellison practices at 1240 Bamburg Ct, Hanover Park, IL 60133. The listed phone number is (630) 372-6599.

What is Kermit Ellison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kermit Ellison was last updated on May 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.