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ELLEN MCCORMACK LMFT
NPI 1194170159
Marriage & Family Therapist in Los Angeles, CA

Active since April 27, 2016Opted out of Medicare · through Mar 20, 2028
11949 JEFFERSON BLVD, SUITE 106, LOS ANGELES, CA 90230(424) 209-2911 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellen Mccormack Lmft NPPES

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

ELLEN MCCORMACK LMFT (NPI 1194170159) is an individual marriage & family therapist in Los Angeles, California, licensed in California (85364) and active in the NPI registry since April 2016. She has opted out of Medicare through March 20, 2028.

NPPES Registry Identity

NPI1194170159
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameELLEN MCCORMACKCredential: LMFT
Location Address11949 JEFFERSON BLVD, SUITE 106Los Angeles, CA 90230-6336
Mailing AddressPo Box 341802Los Angeles, CA 90034-8870 · (424) 209-2911
Phone(424) 209-2911
Sole ProprietorYes
Enumeration DateApril 27, 2016
✔ NPI 1194170159 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 · 85364
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.
11949 JEFFERSON BLVD, Los Angeles, CA 90230
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ellen Mccormack 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 March 20, 2024 through March 20, 2028.

Opt-Out Effective DateMarch 20, 2024
Opt-Out In Effect ThroughMarch 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

GINA HEATHER FOUND LMFT
Marriage & Family Therapist
11949 JEFFERSON BLVD, STE 106
CULVER CITY, CA 90230
Los Angeles County (213) 392-3081
JENNIFER S.T. BLAIR LCSW
Social Worker (Clinical)
11949 JEFFERSON BLVD, 106
CULVER CITY, CA 90230
Los Angeles County (323) 736-1463

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 Ellen Mccormack's NPI number?

The NPI number for Ellen Mccormack is 1194170159. It was assigned to this individual provider in the NPPES registry on April 27, 2016.

Where is Ellen Mccormack located?

Ellen Mccormack practices at 11949 Jefferson Blvd Suite 106, Los Angeles, CA 90230. The listed phone number is (424) 209-2911.

What is Ellen Mccormack's specialty?

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

Is Ellen Mccormack enrolled in Medicare?

No. Ellen Mccormack has opted out of Medicare through March 20, 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 Ellen Mccormack was last updated on April 27, 2016. 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.