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UPSTATE ELLIE LLC
NPI 1457073694
Specialist in Greenville, SC

Active since September 14, 2022
430 WOODRUFF RD STE 450, GREENVILLE, SC 29607(864) 659-6670(864) 818-4697 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2026, Dec 6, 2024, Aug 15, 2024 and 2 more (5 updates tracked since 2022).

About Upstate Ellie Llc NPPES

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

UPSTATE ELLIE LLC (NPI 1457073694), doing business as Ellie Mental Health, is a healthcare organization registered as a specialist in Greenville, South Carolina and active in the NPI registry since September 2022. The organization lists Kristin N Hall, Operations Leader, as its authorized official.

NPPES Registry Identity

NPI1457073694
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUPSTATE ELLIE LLC
Location Address430 WOODRUFF RD STE 450Greenville, SC 29607-3443
Mailing Address430 Woodruff Rd Ste 450Greenville, SC 29607-3443 · (864) 659-6670 · Fax (864) 818-4697
Phone(864) 659-6670
Fax(864) 818-4697
Organization SubpartNo
Authorized OfficialKristin N HallOperations Leader · (864) 302-6012
Enumeration DateSeptember 14, 2022
Last NPPES UpdateMay 1, 20265 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1457073694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPediatricsTaxonomy 208000000X
430 WOODRUFF RD STE 450, Greenville, SC 29607
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Other Names 1

Doing Business AsEllie Mental Health

Other Identifiers 1

MedicaidPG1594SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upstate Ellie Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Upstate Ellie LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker6
Mental Health Counselor6
Marriage and Family Therapist1

Clinicians, nearest first (13)

Kayla Anthony, MS, LPC, LMHC
Mental Health Counselor
NPI 1194196576
430 WOODRUFF RD STE 450
Greenville, SC 29607
(864) 400-5130
✔ PECOS✔ Accepts MedicareSame address
Cassaundra Gamble, MA, LPC
Mental Health Counselor
NPI 1821499518
430 WOODRUFF RD STE 450
Greenville, SC 29607
(864) 400-5130
✔ PECOS✔ Accepts MedicareSame address
Daniela Hatter, M.ED, ED.S, LPC
Mental Health Counselor
NPI 1447735873
430 WOODRUFF RD STE 450
Greenville, SC 29607
(864) 400-5130
✔ PECOSSame address
Chandra Mills, MA, LPC, LAC
Mental Health Counselor
NPI 1295094696
430 WOODRUFF RD STE 450
Greenville, SC 29607
(864) 400-5130
✔ PECOSSame address
Ashley Simmons, MSW, LISW-CP
Clinical Social Worker
NPI 1548999113
430 WOODRUFF RD STE 450
Greenville, SC 29607
(864) 400-5130
✔ PECOSSame address
Katherine Tarleton, MFT, LMFT
Marriage and Family Therapist
NPI 1629631064
430 WOODRUFF RD STE 450
Greenville, SC 29607
(864) 400-5130
✔ PECOS✔ Accepts MedicareSame address
John Lowman, DSW, LISW-CP
Clinical Social Worker
NPI 1174035240
415 RUTHERFORD ST
Greenville, SC 29609
(864) 242-9193
✔ PECOS✔ Accepts Medicare4.4 mi
Laura Vail, LISW-CP
Clinical Social Worker
NPI 1801452727
975 W FARIS RD
Greenville, SC 29605
(864) 729-8330
✔ PECOS✔ Accepts Medicare4.6 mi
Annie Forrest, LISW-CP
Clinical Social Worker
NPI 1841531373
1115 DUNLAP RD
Anderson, SC 29621
(864) 225-0792
✔ PECOS✔ Accepts Medicare25 mi
Cecil Plumley, LISW-CP
Clinical Social Worker
NPI 1659334647
206 E RUTHERFORD ST
Landrum, SC 29356
(864) 457-2812
✔ PECOS✔ Accepts Medicare25 mi
Rachel Roberts, MA, LPC
Mental Health Counselor
NPI 1306439187
302 S BROAD ST
Clinton, SC 29325
(864) 938-2100
✔ PECOS36 mi
Mishelle Lockerby, MA, LPC, LCMHC, LMHC
Mental Health Counselor
NPI 1093213621
1530 UNION RD STE A
Gastonia, NC 28054
(704) 867-6188
✔ PECOS✔ Accepts Medicare72 mi
Deborah Whittemore, LCSW
Clinical Social Worker
NPI 1972744795
2101 DUTCH FORK RD
Chapin, SC 29036
(910) 338-2885
✔ PECOS✔ Accepts Medicare77 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Upstate Ellie LLC's NPI number?

The NPI number for Upstate Ellie LLC is 1457073694. It was assigned to this organization in the NPPES registry on September 14, 2022. The provider is doing business as Ellie Mental Health.

Where is Upstate Ellie LLC located?

Upstate Ellie LLC is located at 430 Woodruff Rd Ste 450, Greenville, SC 29607. The listed phone number is (864) 659-6670.

What is Upstate Ellie LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Upstate Ellie LLC enrolled in Medicare?

Yes. Upstate Ellie LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upstate Ellie LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Upstate Ellie LLC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (6), Mental Health Counselor (6) and Marriage and Family Therapist (1). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Upstate Ellie LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Upstate Ellie LLC 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 Upstate Ellie LLC was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.