CAROLYN ILONA ELLIS LMHC
NPI 1588890677
Counselor - Mental Health in Winter Park, FL

Active since June 03, 2009PECOS EnrolledAccepts Medicare Assignment
3001 ALOMA AVE STE 214, WINTER PARK, FL 32792(407) 538-7984 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carolyn Ilona Ellis Lmhc NPPES

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

CAROLYN ILONA ELLIS LMHC (NPI 1588890677) is an individual mental health provider in Winter Park, Florida, licensed in Florida (MH6728) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1588890677
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAROLYN ILONA ELLISCredential: LMHC
Location Address3001 ALOMA AVE STE 214Winter Park, FL 32792-3752
Mailing Address2022 Ponderosa AveWinter Park, FL 32792-2064 · (407) 538-7984
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 3, 2009
✔ NPI 1588890677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH6728
3001 ALOMA AVE STE 214, Winter Park, FL 32792

Other Identifiers 1

Medicaid763805100FL

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

Carolyn Ilona Ellis Lmhc 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 ID3577915073
PECOS Enrollment IDI20240119004077
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carolyn Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
540 E HORATIO AVE STE 200
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 34 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 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.

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 Carolyn Ellis's NPI number?

The NPI number for Carolyn Ellis is 1588890677. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Carolyn Ellis located?

Carolyn Ellis practices at 3001 Aloma Ave Ste 214, Winter Park, FL 32792. The listed phone number is (407) 538-7984.

What is Carolyn Ellis's specialty?

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

Is Carolyn Ellis enrolled in Medicare?

Yes. Carolyn 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 organizations bill Medicare for Carolyn Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Ellis reassigns Medicare benefits to 2 organizations: Beth Davalos Counseling Center LLC (Maitland, FL) and Grow Healthcare Group PA (Miami, FL). Each 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 Carolyn Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Ellis accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Carolyn 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 Carolyn Ellis was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.