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MR. ANTONIO CLARENCE ELLZEY SR. NCC, LCPC
NPI 1174909451
Counselor - Professional in Mokena, IL

Active since August 10, 2015
9435 BORMET DR STE 5, MOKENA, IL 60448(708) 995-7226 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Antonio Clarence Ellzey Sr. Ncc, Lcpc NPPES

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

MR. ANTONIO CLARENCE ELLZEY SR. NCC, LCPC (NPI 1174909451) is an individual professional provider in Mokena, Illinois, licensed in Illinois (EIN-27-4113346) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1174909451
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. ANTONIO CLARENCE ELLZEY SR.Credential: NCC, LCPC
Location Address9435 BORMET DR STE 5Mokena, IL 60448-7401
Mailing Address9119s Exchange AveChicago, IL 60617-4225 · (773) 768-5000
Phone(708) 995-7226
Sole ProprietorNo
Enumeration DateAugust 10, 2015
Last NPPES UpdateOctober 28, 2015
✔ NPI 1174909451 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 IL · EIN-27-4113346
9435 BORMET DR STE 5, Mokena, IL 60448
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Other Identifiers 1

Other1205137346IL · Group Npi

Other Providers at the Same Location NPPES 5

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

STEPHANIE NASH LCSW
Social Worker (Clinical)
9435 BORMET DR STE 5
MOKENA, IL 60448
Will County (708) 995-7226
LINDSAY DENISE CURRIE
Social Worker (Clinical)
9435 BORMET DR STE 5
MOKENA, IL 60448
Will County (708) 995-7226
GREAT CHANGES COUNSELING SERVICES, P.C.
Social Worker (Clinical)
9435 BORMET DR STE 5
MOKENA, IL 60448
Will County (815) 260-2566
KARA MARIE MARTINO M.S.
Counselor (Mental Health)
9435 BORMET DR STE 5
MOKENA, IL 60448
Will County (708) 995-7226
MS. KELLY DERR LCSW
Social Worker (Clinical)
9435 BORMET DR STE 5
MOKENA, IL 60448
Will County (708) 995-7226

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 Antonio Ellzey's NPI number?

The NPI number for Antonio Ellzey is 1174909451. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Where is Antonio Ellzey located?

Antonio Ellzey practices at 9435 Bormet Dr Ste 5, Mokena, IL 60448. The listed phone number is (708) 995-7226.

What is Antonio Ellzey's specialty?

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

When was this NPI record last updated?

The NPPES record for Antonio Ellzey was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.