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ELLEN HOMLONG PC, RD,LD,CDE
NPI 1063558294
Counselor - Professional in Canton, OH

Active since January 29, 2007PECOS Enrolled
4641 FULTON DR NW, CANTON, OH 44718(330) 433-6075 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellen Homlong Pc, Rd,ld,cde NPPES

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

ELLEN HOMLONG PC, RD,LD,CDE (NPI 1063558294) is an individual professional provider in Canton, Ohio, licensed in Ohio (C.1300021) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063558294
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELLEN HOMLONGCredential: PC, RD,LD,CDE
Location Address4641 FULTON DR NWCanton, OH 44718-2384
Mailing Address2655 Harland DrHudson, OH 44236-3257 · (234) 380-5250
Phone(330) 433-6075
Sole ProprietorYes
Enumeration DateJanuary 29, 2007
Last NPPES UpdateDecember 5, 2013
✔ NPI 1063558294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C.1300021
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License LD4671 (OH)
4641 FULTON DR NW, Canton, OH 44718
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Other Identifiers 2

Medicaid1063558294OH
Medicare PINHOMT04041OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Homlong Pc, Rd,ld,cde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Ellen Homlong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cfpa LLC
21 mi
Psychologist
822 PORTAGE TRL
Cuyahoga Falls, OH 44221
  • Reassigned Medicare billing, Ohio enrollment
  • 4 clinicians in this Medicare group
NPI 1780987461 (330) 923-9344

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 20

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

HEATHER ANNE STRANGE
Community Health Worker
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
CRAIG DENNIS KING RN, APRN
Nurse Practitioner (Psychiatric/Mental Health)
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
DR. CYNTHIA K HA PH.D.
Student in an Organized Health Care Education/Training Program
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
EMMA JOAN FARKAS PSY.D.
Psychologist (Clinical)
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
LORNA O'DELL WRIGHT PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
ZIPPORAH MOORE
Case Manager/Care Coordinator
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
ASHLEY E POKLAR MED
Student in an Organized Health Care Education/Training Program
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075
CAROLINE WITEK M.S.
Student in an Organized Health Care Education/Training Program
4641 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-6075

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 Homlong's NPI number?

The NPI number for Ellen Homlong is 1063558294. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Ellen Homlong located?

Ellen Homlong practices at 4641 Fulton Dr NW, Canton, OH 44718. The listed phone number is (330) 433-6075.

What is Ellen Homlong's specialty?

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

Is Ellen Homlong enrolled in Medicare?

Yes. Ellen Homlong is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen Homlong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Homlong reassigns Medicare benefits to Cfpa LLC (Cuyahoga Falls, OH). 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 Ellen Homlong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellen Homlong accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Insurance Corporation of Ohio and 2 other insurers list Ellen Homlong 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 Ellen Homlong was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.