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MS. CHANTALLE ELLIS MA, LPCC
NPI 1366950917
Counselor - Professional in Bismarck, ND

Active since January 17, 2018PECOS EnrolledAccepts Medicare Assignment
2525 E ROSSER AVE STE 4, BISMARCK, ND 58501(701) 751-4122(701) 751-1728 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 29, 2020, Jan 17, 2018 (2 updates tracked since 2018).

About Ms. Chantalle Ellis Ma, Lpcc NPPES

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

MS. CHANTALLE ELLIS MA, LPCC (NPI 1366950917) is an individual professional provider in Bismarck, North Dakota, licensed in North Dakota (933-1-1-18-395) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366950917
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. CHANTALLE ELLISCredential: MA, LPCC
Location Address2525 E ROSSER AVE STE 4Bismarck, ND 58501-5017
Mailing Address2525 E Rosser Ave Ste 4Bismarck, ND 58501-5017 · (701) 751-4122 · Fax (701) 751-1728
Phone(701) 751-4122
Fax(701) 751-1728
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 17, 2018
Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1366950917 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 ND · 933-1-1-18-395
2525 E ROSSER AVE STE 4, Bismarck, ND 58501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

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

Ms. Chantalle Ellis Ma, Lpcc 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 ID5496198590
PECOS Enrollment IDI20240206001526
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 4

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

BISMARCK PSYCHOLOGICAL ASSOCIATES, PLLC
Psychologist
2525 E ROSSER AVE STE 4
BISMARCK, ND 58501
Burleigh County (701) 751-4122
DR. CLAUDETTE MARIE RENO PH.D.
Psychologist
2525 E ROSSER AVE STE 4
BISMARCK, ND 58501
Burleigh County (701) 751-4122
MS. SARA R. BASHUS LCSW
Social Worker
2525 E ROSSER AVE STE 4
BISMARCK, ND 58501
Burleigh County (701) 751-4122
DR. KARLI A. ROSEN PH.D.
Psychologist (Clinical)
2525 E ROSSER AVE STE 4
BISMARCK, ND 58501
Burleigh County (701) 751-4122

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 Chantalle Ellis's NPI number?

The NPI number for Chantalle Ellis is 1366950917. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Chantalle Ellis located?

Chantalle Ellis practices at 2525 E Rosser Ave Ste 4, Bismarck, ND 58501. The listed phone number is (701) 751-4122.

What is Chantalle Ellis's specialty?

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

Is Chantalle Ellis enrolled in Medicare?

Yes. Chantalle 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.

What insurance does Chantalle Ellis accept?

Health plans from Medica and Sanford Health Plan list Chantalle 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 Chantalle Ellis was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.