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PHILIP ELLISON-HINES LMFTA
NPI 1558138198
Marriage & Family Therapist in Pendleton, IN

Active since December 05, 2023Opted out of Medicare · through Jan 1, 2028
200 S PENDLETON AVE STE 212, PENDLETON, IN 46064(317) 813-9064 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Philip Ellison-hines Lmfta NPPES

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

PHILIP ELLISON-HINES LMFTA (NPI 1558138198) is an individual marriage & family therapist in Pendleton, Indiana, licensed in Indiana (85000536A) and active in the NPI registry since December 2023. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1558138198
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NamePHILIP ELLISON-HINESCredential: LMFTA
Location Address200 S PENDLETON AVE STE 212Pendleton, IN 46064-1189
Mailing Address11650 Olio Rd Ste 1000-191Fishers, IN 46037-7619
Phone(317) 813-9064
Sole ProprietorYes
Enumeration DateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
✔ NPI 1558138198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in IN · 85000536A
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
200 S PENDLETON AVE STE 212, Pendleton, IN 46064
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Philip Ellison-hines Lmfta has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Philip Ellison-hines's NPI number?

The NPI number for Philip Ellison-hines is 1558138198. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Where is Philip Ellison-hines located?

Philip Ellison-hines practices at 200 S Pendleton Ave Ste 212, Pendleton, IN 46064. The listed phone number is (317) 813-9064.

What is Philip Ellison-hines's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Philip Ellison-hines enrolled in Medicare?

No. Philip Ellison-hines has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Philip Ellison-hines was last updated on December 5, 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.