1. Home
  2. Directory
  3. New Jersey
  4. Freehold
  5. Counselor
  6. NPI Profile

KATHLEEN ELLIS LPC
NPI 1619573474
Counselor - Professional in Freehold, NJ

Active since December 08, 2020PECOS EnrolledAccepts Medicare Assignment
3499 ROUTE 9 N STE 2C, FREEHOLD, NJ 07728(732) 982-2888(847) 859-5885 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kathleen Ellis Lpc NPPES

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

KATHLEEN ELLIS LPC (NPI 1619573474) is an individual professional provider in Freehold, New Jersey, licensed in New Jersey (37PC00583600) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619573474
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN ELLISCredential: LPC
Location Address3499 ROUTE 9 N STE 2CFreehold, NJ 07728-3277
Mailing Address175 E Hawthorn Pkwy Ste 235Vernon Hills, IL 60061-1454 · (847) 868-3435 · Fax (847) 859-5885
Phone(732) 982-2888
Fax(847) 859-5885
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1619573474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00583600
3499 ROUTE 9 N STE 2C, Freehold, NJ 07728
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Ellis Lpc 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 ID9537692884
PECOS Enrollment IDI20241025001232
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
155 services29 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
21 services21 patients

Other Providers at the Same Location NPPES 5

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

KESCY MATHURIN
Counselor (Mental Health)
3499 ROUTE 9 N STE 2C
FREEHOLD, NJ 07728
Monmouth County (732) 982-2888
GINA M RADICE M.A
Psychologist (Clinical)
3499 ROUTE 9 N STE 2C
FREEHOLD, NJ 07728
Monmouth County (732) 982-2888
LAUREN FARNSWORTH LAC
Counselor (Mental Health)
3499 ROUTE 9 N STE 2C
FREEHOLD, NJ 07728
Monmouth County (732) 982-2888
CARISSA ALI LAC
Counselor (Mental Health)
3499 ROUTE 9 N STE 2C
FREEHOLD, NJ 07728
Monmouth County (732) 982-2888
ROSA GOMEZ
Marriage & Family Therapist
3499 ROUTE 9 N STE 2C
FREEHOLD, NJ 07728
Monmouth County (732) 982-2888

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 Kathleen Ellis's NPI number?

The NPI number for Kathleen Ellis is 1619573474. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Where is Kathleen Ellis located?

Kathleen Ellis practices at 3499 Route 9 N Ste 2C, Freehold, NJ 07728. The listed phone number is (732) 982-2888.

What is Kathleen Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kathleen Ellis enrolled in Medicare?

Yes. Kathleen 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.

When was this NPI record last updated?

The NPPES record for Kathleen Ellis was last updated on December 8, 2020. 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.