MARY ELLEN MILLER, MS, LPC, LLC
NPI 1518762756
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portage, WI

Active since February 13, 2025
W10445 STATE ROAD 16 LOT 21, PORTAGE, WI 53901(608) 617-8419 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Ellen Miller, Ms, Lpc, Llc NPPES

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

MARY ELLEN MILLER, MS, LPC, LLC (NPI 1518762756), doing business as Mary Ellen Miller, Ms, Lpc,llc, is a healthcare organization registered as a mental health (including community mental health center) in Portage, Wisconsin and active in the NPI registry since February 2025. The organization lists Mary Ellen Ellen Miller Ms Miller, Director, as its authorized official.

NPPES Registry Identity

NPI1518762756
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMARY ELLEN MILLER, MS, LPC, LLC
Location AddressW10445 STATE ROAD 16 LOT 21Portage, WI 53901-9488
Mailing AddressW10445 State Road 16 Lot 21Portage, WI 53901-9488 · (608) 617-8419
Organization SubpartNo
Authorized OfficialMary Ellen Ellen Miller Ms MillerDirector · (608) 617-8419
Enumeration DateFebruary 13, 2025
NPPES CertifiedFebruary 13, 2025
✔ NPI 1518762756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
W10445 STATE ROAD 16 LOT 21, Portage, WI 53901

Other Names 1

Doing Business AsMary Ellen Miller, Ms, Lpc,llc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ellen Miller, Ms, Lpc, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary Ellen Miller, Ms, Lpc, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1770659815
702 N BLACKHAWK AVE SUITE205
Madison, WI 53705
(608) 233-3037
✔ PECOS✔ Accepts Medicare34 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 Mary Ellen Miller, Ms, Lpc, LLC's NPI number?

The NPI number for Mary Ellen Miller, Ms, Lpc, LLC is 1518762756. It was assigned to this organization in the NPPES registry on February 13, 2025. The provider is doing business as Mary Ellen Miller, MS, LPC,LLC.

Where is Mary Ellen Miller, Ms, Lpc, LLC located?

Mary Ellen Miller, Ms, Lpc, LLC is located at W10445 State Road 16 Lot 21, Portage, WI 53901. The listed phone number is (608) 617-8419.

What is Mary Ellen Miller, Ms, Lpc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Mary Ellen Miller, Ms, Lpc, LLC enrolled in Medicare?

Yes. Mary Ellen Miller, Ms, Lpc, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mary Ellen Miller, Ms, Lpc, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mary Ellen Miller, Ms, Lpc, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mary Ellen Miller, Ms, Lpc, LLC was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.