1. Home
  2. Directory
  3. Georgia
  4. Locust Grove
  5. Marriage Family Therapist
  6. NPI Profile

MONIFA ELLISADDIE LMFT
NPI 1184337941
Marriage & Family Therapist in Locust Grove, GA

Active since December 26, 2022Opted out of Medicare · through Jan 1, 2028
1012 BATTERSEA PL, LOCUST GROVE, GA 30248(818) 925-0569 Get Directions Write a Review

NPPES record last updated: December 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Monifa Ellisaddie Lmft NPPES

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

MONIFA ELLISADDIE LMFT (NPI 1184337941) is an individual marriage & family therapist in Locust Grove, Georgia, licensed in California (132372) and active in the NPI registry since December 2022. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Valley Village.

NPPES Registry Identity

NPI1184337941
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMONIFA ELLISADDIECredential: LMFT
Location Address1012 BATTERSEA PLLocust Grove, GA 30248-2077
Mailing Address1012 Battersea PlLocust Grove, GA 30248-2077 · (908) 644-4830
Phone(818) 925-0569
Sole ProprietorYes
Enumeration DateDecember 26, 2022
NPPES CertifiedDecember 26, 2022
✔ NPI 1184337941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 132372
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1012 BATTERSEA PL, Locust Grove, GA 30248
Open in Google Maps ↗

Other Names 1

Former Name (1)Monifa Ellis

Secondary Practice Location 1

Location 111825 Magnolia Blvd Apt 109Valley Village, CA 91607-2873 · Phone (818) 925-0569

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Monifa Ellisaddie Lmft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 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 Monifa Ellisaddie's NPI number?

The NPI number for Monifa Ellisaddie is 1184337941. It was assigned to this individual provider in the NPPES registry on December 26, 2022.

Where is Monifa Ellisaddie located?

Monifa Ellisaddie practices at 1012 Battersea Pl, Locust Grove, GA 30248. The listed phone number is (818) 925-0569.

What is Monifa Ellisaddie's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Monifa Ellisaddie enrolled in Medicare?

No. Monifa Ellisaddie has opted out of Medicare through January 1, 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 Monifa Ellisaddie was last updated on December 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.