ELLIE MENTAL HEALTH PONTE VEDRA
NPI 1053018143
Marriage & Family Therapist in Ponte Vedra, FL
About Ellie Mental Health Ponte Vedra NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLIE MENTAL HEALTH PONTE VEDRA (NPI 1053018143) is a healthcare organization registered as a marriage & family therapist in Ponte Vedra, Florida and active in the NPI registry since February 2023. The organization lists Ansh Grover, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellie Mental Health Ponte Vedra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Ellie Mental Health Ponte Vedra, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Ponte Vedra Beach, FL 32082
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 Shukrana LLC's NPI number?
The NPI number for Shukrana LLC is 1053018143. It was assigned to this organization in the NPPES registry on February 9, 2023. The provider is doing business as Ellie Mental Health Ponte Vedra and Ellie Mental Health.
Where is Shukrana LLC located?
Shukrana LLC is located at 1102 A1a N Ste 203, Ponte Vedra, FL 32082. The listed phone number is (904) 903-6375.
What is Shukrana LLC's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Shukrana LLC enrolled in Medicare?
Yes. Shukrana LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shukrana LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Shukrana LLC. 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. The largest specialties are Mental Health Counselor (4), Clinical Social Worker (1) and Marriage and Family Therapist (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Shukrana LLC accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Shukrana LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shukrana LLC was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ellie Mental Health Ponte Vedra · NPI 1053018143
Marriage & Family Therapist organization in Ponte Vedra, Florida. Organization record, active in the CMS NPPES registry since February 9, 2023.
## Identity
- **NPI:** 1053018143 (Entity type: Organization)
- **Enumerated:** February 9, 2023
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Legal business name:** Shukrana Llc
- **Also known as:** Ellie Mental Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ansh Grover, COO
## Practice location
- **Address:** 1102 A1A N STE 203, Ponte Vedra, FL 32082-4098
- **Phone:** (904) 903-6375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (4), Clinical Social Worker (1), Marriage and Family Therapist (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1053018143) · Data from the CMS NPPES public registry.