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AMANDA ELLIS LCPC
NPI 1215455472
Counselor - Mental Health in Carterville, IL

Active since September 07, 2017PECOS EnrolledAccepts Medicare Assignment
1006 S DIVISION ST, CARTERVILLE, IL 62918(618) 519-9200(618) 985-3774 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 20, 2025, Jun 4, 2024, May 18, 2022 (3 updates tracked since 2022).

About Amanda Ellis Lcpc NPPES

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

AMANDA ELLIS LCPC (NPI 1215455472) is an individual mental health provider in Carterville, Illinois, licensed in Illinois (180.013503) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215455472
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA ELLISCredential: LCPC
Location Address1006 S DIVISION STCarterville, IL 62918-1539
Mailing Address109 California St, Po Box 577Carterville, IL 62918-0577 · (618) 519-9200 · Fax (618) 985-4635
Phone(618) 519-9200
Fax(618) 985-3774
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 7, 2017
Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1215455472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180.013503
1006 S DIVISION ST, Carterville, IL 62918
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Other Names 1

Other Name (5)Amanda Rushing

Other Identifiers 1

Medicaid370915481007IL

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

Amanda Ellis Lcpc 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 ID7012351323
PECOS Enrollment IDI20240214003026
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.

Other Providers at the Same Location NPPES 17

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

KATIE SURMAN RD
Dietitian, Registered
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Clinic/Center (Methadone)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
KAIF MOHAMMED YUSUF MANSURI M.D.
Family Medicine
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
CONNIE E DEEN LCSW
Social Worker (Clinical)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 985-4841
ALEXANDRIA MARKEL LCPC
Counselor (Mental Health)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
MR. DAVID VACCARO MSW, LCSW
Social Worker (Clinical)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
LACIE DIANE HAWKINS RD-LDN
Dietitian, Registered
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 985-4841
TERESA JOHNSON APRN
Nurse Practitioner
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200

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 Amanda Ellis's NPI number?

The NPI number for Amanda Ellis is 1215455472. It was assigned to this individual provider in the NPPES registry on September 7, 2017. The provider is also known as Amanda Rushing.

Where is Amanda Ellis located?

Amanda Ellis practices at 1006 S Division St, Carterville, IL 62918. The listed phone number is (618) 519-9200.

What is Amanda Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amanda Ellis enrolled in Medicare?

Yes. Amanda 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.

When was this NPI record last updated?

The NPPES record for Amanda Ellis was last updated on February 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.