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JESSE SEVERT ELLIS LMFT
NPI 1376794354
Counselor - Mental Health in Bloomington, MN

Active since October 08, 2008PECOS EnrolledAccepts Medicare Assignment
8120 PENN AVE S STE 270, BLOOMINGTON, MN 55431(800) 336-5973(612) 234-4689 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse Severt Ellis Lmft NPPES

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

JESSE SEVERT ELLIS LMFT (NPI 1376794354) is an individual mental health provider in Bloomington, Minnesota and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1376794354
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJESSE SEVERT ELLISCredential: LMFT
Location Address8120 PENN AVE S STE 270Bloomington, MN 55431-1320
Mailing Address1900 Silver Lake Rd Nw, Suite 110New Brighton, MN 55112-1786 · (651) 628-9253 · Fax (651) 631-8789
Phone(800) 336-5973
Fax(612) 234-4689
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 8, 2008
Last NPPES UpdateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
✔ NPI 1376794354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
8120 PENN AVE S STE 270, Bloomington, MN 55431
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Jesse Severt Ellis Lmft 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 ID1254775968
PECOS Enrollment IDI20240221003202
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 11

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

MELISSA LEE GAWLIK LMFT
Marriage & Family Therapist
8120 PENN AVE S STE 270
BLOOMINGTON, MN 55431
Hennepin County (800) 336-5973
ALIX BELLUS
Counselor (Professional)
8120 PENN AVE S STE 270
BLOOMINGTON, MN 55431
Hennepin County (800) 336-5973
YANETH ANNETTE CUNNINGHAM LMFT
Marriage & Family Therapist
8120 PENN AVE S STE 270
BLOOMINGTON, MN 55431
Hennepin County (800) 336-5973
JUDITH CAVAZOS-BEAL LMFT, LADC
Marriage & Family Therapist
8120 PENN AVE S STE 270
BLOOMINGTON, MN 55431
Hennepin County (800) 336-5973
HEIDI R ANGERHOFER LMFT
Marriage & Family Therapist
8120 PENN AVE S STE 270
BLOOMINGTON, MN 55431
Hennepin County (800) 336-5973
HENRY PRICE MA
Counselor (Professional)
8120 PENN AVE S STE 270
BLOOMINGTON, MN 55431
Hennepin County (180) 033-6597
PATRICK KOCH MA
Counselor (Professional)
8120 PENN AVE S STE 270
BLOOMINGTON, MN 55431
Hennepin County (800) 336-5973
KATHERYN ALEXANDER LPCC
Counselor (Professional)
8120 PENN AVE S STE 270
BLOOMINGTON, MN 55431
Hennepin County (800) 336-5973

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 Jesse Ellis's NPI number?

The NPI number for Jesse Ellis is 1376794354. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is Jesse Ellis located?

Jesse Ellis practices at 8120 Penn Ave S Ste 270, Bloomington, MN 55431. The listed phone number is (800) 336-5973.

What is Jesse Ellis's specialty?

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

Is Jesse Ellis enrolled in Medicare?

Yes. Jesse 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 Jesse Ellis accept?

Health plans from HealthPartners list Jesse 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 Jesse Ellis was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.