ELLEN ODONOVAN LCPC PLLC
NPI 1043013592
Counselor - Professional in Evanston, IL
About Ellen Odonovan Lcpc Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN ODONOVAN LCPC PLLC (NPI 1043013592) is a healthcare organization registered as a professional in Evanston, Illinois and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Evanston and lists Ellen O'donovan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Odonovan Lcpc Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ellen Odonovan Lcpc PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ellen Odonovan Lcpc PLLC's NPI number?
The NPI number for Ellen Odonovan Lcpc PLLC is 1043013592. It was assigned to this organization in the NPPES registry on March 31, 2025.
Where is Ellen Odonovan Lcpc PLLC located?
Ellen Odonovan Lcpc PLLC is located at 1035 Asbury Ave, Evanston, IL 60202. The listed phone number is (773) 858-8944.
What is Ellen Odonovan Lcpc PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ellen Odonovan Lcpc PLLC enrolled in Medicare?
Yes. Ellen Odonovan Lcpc PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ellen Odonovan Lcpc PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Ellen Odonovan Lcpc PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ellen Odonovan Lcpc PLLC was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ellen Odonovan Lcpc Pllc · NPI 1043013592
Professional organization in Evanston, Illinois. Organization record, active in the CMS NPPES registry since March 31, 2025.
## Identity
- **NPI:** 1043013592 (Entity type: Organization)
- **Enumerated:** March 31, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Ellen O'donovan, OWNER
## Practice location
- **Address:** 1035 ASBURY AVE, Evanston, IL 60202-1164
- **Phone:** (773) 858-8944
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1043013592) · Data from the CMS NPPES public registry.