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MRS. ELLIE STACEY ETTMAN LPC
NPI 1023668134
Counselor - Professional in Plymouth Meeting, PA

Active since September 19, 2019PECOS Enrolled
140 W GERMANTOWN PIKE STE 160, PLYMOUTH MEETING, PA 19462(610) 892-3800 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 25, 2025, Sep 19, 2019 (2 updates tracked since 2019).

About Mrs. Ellie Stacey Ettman Lpc NPPES

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

MRS. ELLIE STACEY ETTMAN LPC (NPI 1023668134) is an individual professional provider in Plymouth Meeting, Pennsylvania, licensed in Pennsylvania (PC006011) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1023668134
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ELLIE STACEY ETTMANCredential: LPC
Location Address140 W GERMANTOWN PIKE STE 160Plymouth Meeting, PA 19462-1421
Mailing Address140 W Germantown Pike Ste 160Plymouth Meeting, PA 19462-1421 · (610) 892-3800
Phone(610) 892-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 19, 2019
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1023668134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC006011
140 W GERMANTOWN PIKE STE 160, Plymouth Meeting, PA 19462
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ellie Stacey Ettman Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860968807
PECOS Enrollment IDI20260417000539
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ellie Ettman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Delaware County Professional Services, Inc
15 mi
Psychiatry
1055 E BALTIMORE PIKE STE 303
Media, PA 19063
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 353 clinicians in this Medicare group
NPI 1952485864 (610) 892-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

EDITH E ARIJAJE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
140 W GERMANTOWN PIKE STE 160
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 892-3800
ANNIE JACOB MS, LPC
Counselor (Professional)
140 W GERMANTOWN PIKE STE 160
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 892-3800
DR. RUTH COVINGTON DO
Psychiatry & Neurology (Addiction Psychiatry)
140 W GERMANTOWN PIKE STE 160
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 892-3800
ELIZA GRIFFIN MSS, LCSW
Social Worker (Clinical)
140 W GERMANTOWN PIKE STE 160
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 892-3800
POLLY RICHARDSON
Marriage & Family Therapist
140 W GERMANTOWN PIKE STE 160
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 892-3800
EMILY BOETTCHER NCC, LPC
Counselor (Professional)
140 W GERMANTOWN PIKE STE 160
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 892-3800
STEFANIE REINHARD LCSW
Social Worker (Clinical)
140 W GERMANTOWN PIKE STE 160
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 892-3800
THOMAS STAFFORD MURRAY LPC
Counselor (Professional)
140 W GERMANTOWN PIKE STE 160
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 892-3800

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 Ellie Ettman's NPI number?

The NPI number for Ellie Ettman is 1023668134. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Ellie Ettman located?

Ellie Ettman practices at 140 W Germantown Pike Ste 160, Plymouth Meeting, PA 19462. The listed phone number is (610) 892-3800.

What is Ellie Ettman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ellie Ettman enrolled in Medicare?

Yes. Ellie Ettman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellie Ettman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellie Ettman reassigns Medicare benefits to Delaware County Professional Services, Inc (Media, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellie Ettman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ellie Ettman was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.