1. Home
  2. Directory
  3. Wisconsin
  4. Germantown
  5. Counselor
  6. NPI Profile

SUSAN ELLIS LPC
NPI 1285247114
Counselor - Mental Health in Germantown, WI

Active since August 29, 2020Opted out of Medicare · through Jan 2, 2028
W175N11163 STONEWOOD DR STE 106, GERMANTOWN, WI 53022(262) 345-4270 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2023, Nov 2, 2022, Nov 15, 2021 and 1 more (4 updates tracked since 2020).

About Susan Ellis Lpc NPPES

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

SUSAN ELLIS LPC (NPI 1285247114) is an individual mental health provider in Germantown, Wisconsin and active in the NPI registry since August 2020. She has opted out of Medicare through January 2, 2028.

NPPES Registry Identity

NPI1285247114
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSAN ELLISCredential: LPC
Location AddressW175N11163 STONEWOOD DR STE 106Germantown, WI 53022-6501
Mailing AddressW175n11163 Stonewood Dr Ste 106Germantown, WI 53022-6501 · (262) 345-4270
Phone(262) 345-4270
Sole ProprietorNo
Enumeration DateAugust 29, 2020
Last NPPES UpdateJanuary 31, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1285247114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
W175N11163 STONEWOOD DR STE 106, Germantown, WI 53022
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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

Susan Ellis 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 January 2, 2024 through January 2, 2028.

Opt-Out Effective DateJanuary 2, 2024
Opt-Out In Effect ThroughJanuary 2, 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 Susan Ellis's NPI number?

The NPI number for Susan Ellis is 1285247114. It was assigned to this individual provider in the NPPES registry on August 29, 2020.

Where is Susan Ellis located?

Susan Ellis practices at W175n11163 Stonewood Dr Ste 106, Germantown, WI 53022. The listed phone number is (262) 345-4270.

What is Susan Ellis's specialty?

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

Is Susan Ellis enrolled in Medicare?

No. Susan Ellis has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Susan Ellis accept?

Health plans from Medica and UnitedHealthcare list Susan Ellis 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 Susan Ellis was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.