KILEY ELLINGSON LPC
NPI 1275032682
Counselor - Professional in Mankato, MN

Active since February 12, 2018Opted out of Medicare · through Jun 10, 2028
44 GOOD COUNSEL DR, MANKATO, MN 56001(800) 438-1772(262) 345-5562 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 8, 2019, Feb 12, 2018 (2 updates tracked since 2018).

About Kiley Ellingson Lpc NPPES

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

KILEY ELLINGSON LPC (NPI 1275032682) is an individual professional provider in Mankato, Minnesota, licensed in Minnesota (02114) and active in the NPI registry since February 2018. She has opted out of Medicare through June 10, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275032682
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKILEY ELLINGSONCredential: LPC
Location Address44 GOOD COUNSEL DRMankato, MN 56001-6599
Mailing AddressW175n11120 Stonewood DrGermantown, WI 53022-6511 · (800) 438-1772 · Fax (262) 293-9737
Fax(262) 345-5562
Sole ProprietorNo
Enumeration DateFebruary 12, 2018
Last NPPES UpdateOctober 8, 20192 updates tracked since enumeration
NPI 1275032682 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 MN · 02114
44 GOOD COUNSEL DR, Mankato, MN 56001

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kiley Ellingson Lpc 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 June 10, 2024 through June 10, 2028.

Opt-Out Effective DateJune 10, 2024
Opt-Out In Effect ThroughJune 10, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
44 GOOD COUNSEL DR
MANKATO, MN 56001
Counselor (Professional)
44 GOOD COUNSEL DR
MANKATO, MN 56001
Behavior Technician
44 GOOD COUNSEL DR
MANKATO, MN 56001
Counselor (Addiction (Substance Use Disorder))
44 GOOD COUNSEL DR
MANKATO, MN 56001
Counselor (Professional)
44 GOOD COUNSEL DR
MANKATO, MN 56001
Counselor (Professional)
44 GOOD COUNSEL DR
MANKATO, MN 56001
Social Worker (Clinical)
44 GOOD COUNSEL DR
MANKATO, MN 56001
Marriage & Family Therapist
44 GOOD COUNSEL DR
MANKATO, MN 56001

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 Kiley Ellingson's NPI number?

The NPI number for Kiley Ellingson is 1275032682. It was assigned to this individual provider in the NPPES registry on February 12, 2018.

Where is Kiley Ellingson located?

Kiley Ellingson practices at 44 Good Counsel Dr, Mankato, MN 56001. The listed phone number is (800) 438-1772.

What is Kiley Ellingson's specialty?

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

Is Kiley Ellingson enrolled in Medicare?

No. Kiley Ellingson has opted out of Medicare through June 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kiley Ellingson accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Kiley Ellingson 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 Kiley Ellingson was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.