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

Active since August 29, 2020
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: July 19, 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.

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
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
W175N11163 STONEWOOD DR STE 106, Germantown, WI 53022

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-02-2024

  • Opt-Out End Date: 01-02-2028

  • Eligible to Order and Refer? No

Reviews for SUSAN ELLIS LPC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285247114, enumerated as an "individual" on August 29, 2020.

The provider is located at W175N11163 STONEWOOD DR STE 106 GERMANTOWN, WI 53022 and the phone number is (262) 345-4270.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Medica and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.