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DR. ELIZABETH ANNE MELLIN PHD, LPC
NPI 1366062234
Counselor - Mental Health in Ithaca, NY

Active since April 21, 2020PECOS EnrolledAccepts Medicare Assignment
1168 ELLIS HOLLOW RD, ITHACA, NY 14850(814) 769-3399 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elizabeth Anne Mellin Phd, Lpc NPPES

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

DR. ELIZABETH ANNE MELLIN PHD, LPC (NPI 1366062234) is an individual mental health provider in Ithaca, New York, licensed in Georgia (LPC004002) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1366062234
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. ELIZABETH ANNE MELLINCredential: PHD, LPC
Location Address1168 ELLIS HOLLOW RDIthaca, NY 14850-2946
Mailing Address1168 Ellis Hollow RdIthaca, NY 14850-2946 · (814) 769-3399
Phone(814) 769-3399
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateApril 21, 2020
NPPES CertifiedApril 21, 2020
✔ NPI 1366062234 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 GA · LPC004002
1168 ELLIS HOLLOW RD, Ithaca, NY 14850
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Other Identifiers 1

OtherLPC004002GA · Licensed Professional Counselor

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

Dr. Elizabeth Anne Mellin Phd, Lpc 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 ID9931610581
PECOS Enrollment IDI20250619001078
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.

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 Elizabeth Mellin's NPI number?

The NPI number for Elizabeth Mellin is 1366062234. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Where is Elizabeth Mellin located?

Elizabeth Mellin practices at 1168 Ellis Hollow Rd, Ithaca, NY 14850. The listed phone number is (814) 769-3399.

What is Elizabeth Mellin's specialty?

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

Is Elizabeth Mellin enrolled in Medicare?

Yes. Elizabeth Mellin 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 Elizabeth Mellin was last updated on April 21, 2020. 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.