RACQUEL ELLIS
NPI 1043723828
Counselor - Mental Health in Brooklyn, NY

Active since November 15, 2017PECOS EnrolledAccepts Medicare Assignment
2233 NOSTRAND AVE, BROOKLYN, NY 11210(718) 258-1714 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2022, Oct 5, 2021, Jun 11, 2021 and 2 more (5 updates tracked since 2017).

About Racquel Ellis NPPES

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

RACQUEL ELLIS (NPI 1043723828) is an individual mental health provider in Brooklyn, New York, licensed in New York (011679) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043723828
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRACQUEL ELLIS
Location Address2233 NOSTRAND AVEBrooklyn, NY 11210
Mailing Address8825 153rd St Apt 2pJamaica, NY 11432-3752 · (347) 416-2575
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 15, 2017
Last NPPES UpdateJanuary 31, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
NPI 1043723828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in NY · 011679 Licensed in NY · 01482-02
2233 NOSTRAND AVE, Brooklyn, NY 11210

Secondary Practice Location 1

Location 115 MacDonough St, 3NBrooklyn, NY 11216 · Phone (347) 475-1676

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Racquel Ellis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779020003
PECOS Enrollment IDI20240805003149
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.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
2233 NOSTRAND AVE, 2ND FLOOR
BROOKLYN, NY 11210
Student in an Organized Health Care Education/Training Program
2233 NOSTRAND AVE
BROOKLYN, NY 11210
Internal Medicine
2233 NOSTRAND AVE
BROOKLYN, NY 11210
Student in an Organized Health Care Education/Training Program
2233 NOSTRAND AVE, 2ND FLOOR
BROOKLYN, NY 11210
Social Worker
2233 NOSTRAND AVE
BROOKLYN, NY 11210
Counselor (Mental Health)
2233 NOSTRAND AVE, 2ND FLOOR
BROOKLYN, NY 11210
Community/Behavioral Health
2233 NOSTRAND AVE, 2ND FLOOR
BROOKLYN, NY 11210
Social Worker
2233 NOSTRAND AVE, 3RD FLOOR
BROOKLYN, NY 11210

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 Racquel Ellis's NPI number?

The NPI number for Racquel Ellis is 1043723828. It was assigned to this individual provider in the NPPES registry on November 15, 2017.

Where is Racquel Ellis located?

Racquel Ellis practices at 2233 Nostrand Ave, Brooklyn, NY 11210. The listed phone number is (718) 258-1714.

What is Racquel Ellis's specialty?

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

Is Racquel Ellis enrolled in Medicare?

Yes. Racquel Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Racquel Ellis was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.