DR. NICOLE RENEE ELLIS LPCC-S, NCC
NPI 1164580106
Counselor - Professional in Elizabethtown, KY
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
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
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.
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.
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.
# Dr. Nicole Renee Ellis, LPCC-S, NCC · NPI 1164580106
Professional provider in Elizabethtown, Kentucky. Individual provider, active in the CMS NPPES registry since December 4, 2006.
## Identity
- **NPI:** 1164580106 (Entity type: Individual)
- **Enumerated:** December 4, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 103828 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 108 CHRISTINE WAY, Elizabethtown, KY 42701-9681
- **Phone:** (270) 312-2877
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 30605018 (KY); Other 000000498778 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1164580106) · Data from the CMS NPPES public registry.