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DR. NICOLE RENEE ELLIS LPCC-S, NCC
NPI 1164580106
Counselor - Professional in Elizabethtown, KY

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
108 CHRISTINE WAY, ELIZABETHTOWN, KY 42701(270) 312-2877 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jan 12, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Nicole Renee Ellis Lpcc-s, Ncc NPPES

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

DR. NICOLE RENEE ELLIS LPCC-S, NCC (NPI 1164580106) is an individual professional provider in Elizabethtown, Kentucky, licensed in Kentucky (103828) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Radcliff, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164580106
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. NICOLE RENEE ELLISCredential: LPCC-S, NCC
Location Address108 CHRISTINE WAYElizabethtown, KY 42701-9681
Mailing Address108 Christine WayElizabethtown, KY 42701 · (270) 312-2877
Phone(270) 312-2877
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
✔ NPI 1164580106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 103828
108 CHRISTINE WAY, Elizabethtown, KY 42701
Open in Google Maps ↗

Secondary Practice Location 1

Location 11072 S Dixie BlvdRadcliff, KY 40160-1103 · Phone (270) 351-8166 · Fax (270) 351-8322

Other Identifiers 2

Medicaid30605018KY
Other000000498778KY · Anthem

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Renee Ellis Lpcc-s, Ncc 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 ID5698275543
PECOS Enrollment IDI20250825001742
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 Reassignments

2

Medicare enrollment records show Nicole Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Inc
4.7 mi
Internal Medicine
2413 RING RD STE 100
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 clinicians in this Medicare group
NPI 1093338527 (270) 737-0077
United Healthcare Of Hardin, Inc
10 mi
Clinical
7260 N DIXIE BLVD
Radcliff, KY 40160
  • Reassigned Medicare billing, Kentucky enrollment
  • 16 clinicians in this Medicare group
NPI 1851500466 (270) 351-9444

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 Nicole Ellis's NPI number?

The NPI number for Nicole Ellis is 1164580106. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Nicole Ellis located?

Nicole Ellis practices at 108 Christine Way, Elizabethtown, KY 42701. The listed phone number is (270) 312-2877.

What is Nicole Ellis's specialty?

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

Is Nicole Ellis enrolled in Medicare?

Yes. Nicole 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.

Which organizations bill Medicare for Nicole Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Ellis reassigns Medicare benefits to 2 organizations: Baptist Health Medical Group Inc (Elizabethtown, KY) and United Healthcare Of Hardin, Inc (Radcliff, KY). Each 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 Nicole Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Ellis accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicole Ellis 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 Nicole Ellis was last updated on July 21, 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.