1. Home
  2. Directory
  3. Illinois
  4. Bloomington
  5. Counselor
  6. NPI Profile

ELISE NOELLE CHAMPANHET
NPI 1154989069
Counselor - Professional in Bloomington, IL

Active since June 05, 2019Opted out of Medicare · through Apr 4, 2028
2207 WOODHAVENS DR, BLOOMINGTON, IL 61701(312) 561-6289 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2024, Nov 3, 2022, Feb 18, 2020 and 1 more (4 updates tracked since 2019).

About Elise Noelle Champanhet NPPES

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

ELISE NOELLE CHAMPANHET (NPI 1154989069) is an individual professional provider in Bloomington, Illinois and active in the NPI registry since June 2019. She has opted out of Medicare through April 4, 2028.

NPPES Registry Identity

NPI1154989069
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELISE NOELLE CHAMPANHET
Location Address2207 WOODHAVENS DRBloomington, IL 61701-7812
Mailing Address6324 Greenland RdUnion, KY 41091-3402 · (989) 600-4610
Phone(312) 561-6289
Sole ProprietorYes
Enumeration DateJune 5, 2019
Last NPPES UpdateMay 16, 20244 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1154989069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2207 WOODHAVENS DR, Bloomington, IL 61701
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Elise Noelle Champanhet has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 4, 2026 through April 4, 2028.

Opt-Out Effective DateApril 4, 2026
Opt-Out In Effect ThroughApril 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Elise Champanhet's NPI number?

The NPI number for Elise Champanhet is 1154989069. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Elise Champanhet located?

Elise Champanhet practices at 2207 Woodhavens Dr, Bloomington, IL 61701. The listed phone number is (312) 561-6289.

What is Elise Champanhet's specialty?

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

Is Elise Champanhet enrolled in Medicare?

No. Elise Champanhet has opted out of Medicare through April 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Elise Champanhet was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.