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ELLIS THERAPEUTIC SERVICES
NPI 1609453307
Counselor in Bloomington, IL

Active since March 27, 2021
16116 INVERRARY LN, BLOOMINGTON, IL 61705(309) 830-3968 Get Directions Write a Review

NPPES record last updated: March 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellis Therapeutic Services NPPES

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

ELLIS THERAPEUTIC SERVICES (NPI 1609453307) is a healthcare organization registered as a counselor in Bloomington, Illinois and active in the NPI registry since March 2021. The organization lists Thelma Carpenter-ellis, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1609453307
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameELLIS THERAPEUTIC SERVICES
Location Address16116 INVERRARY LNBloomington, IL 61705-5580
Mailing Address16116 Inverrary LnBloomington, IL 61705-5580 · (309) 830-3968
Phone(309) 830-3968
Organization SubpartNo
Authorized OfficialThelma Carpenter-ellisCeo/owner · (309) 830-3968
Enumeration DateMarch 27, 2021
NPPES CertifiedMarch 27, 2021
✔ NPI 1609453307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
16116 INVERRARY LN, Bloomington, IL 61705
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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

Other Providers at the Same Location NPPES 2

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

KEVA FITTEN
Counselor
16116 INVERRARY LN
BLOOMINGTON, IL 61705
McLean County (319) 431-6890
LENORA BEETS MS
Counselor
16116 INVERRARY LN
BLOOMINGTON, IL 61705
McLean County (309) 830-3968

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 Ellis Therapeutic Services's NPI number?

The NPI number for Ellis Therapeutic Services is 1609453307. It was assigned to this organization in the NPPES registry on March 27, 2021.

Where is Ellis Therapeutic Services located?

Ellis Therapeutic Services is located at 16116 Inverrary Ln, Bloomington, IL 61705. The listed phone number is (309) 830-3968.

What is Ellis Therapeutic Services's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ellis Therapeutic Services was last updated on March 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.