MS. CHANTALLE ELLIS MA, LPCC
NPI 1366950917
Counselor - Professional in Bismarck, ND
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Chantalle Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bismarck, ND 58501
- Reassigned Medicare billing, North Dakota enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Chantalle Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chantalle Ellis reassigns Medicare benefits to Bismarck Psychological Associates, PLLC (Bismarck, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chantalle Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chantalle Ellis accept?
Health plans from Blue Cross Blue Shield of North Dakota 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Ms. Chantalle Ellis, MA, LPCC · NPI 1366950917
Professional provider in Bismarck, North Dakota. Individual provider, active in the CMS NPPES registry since January 17, 2018.
## Identity
- **NPI:** 1366950917 (Entity type: Individual)
- **Enumerated:** January 17, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 933-1-1-18-395 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2525 E ROSSER AVE STE 4, Bismarck, ND 58501-5017
- **Phone:** (701) 751-4122 · **Fax:** (701) 751-1728
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Bismarck Psychological Associates, PLLC (NPI 1144670019, Bismarck, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 2, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1366950917) · Data from the CMS NPPES public registry.