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ANNA ELLIS MA, LADC, LPCC
NPI 1679232136
Counselor - Mental Health in Andover, MN

Active since December 13, 2021PECOS EnrolledAccepts Medicare Assignment
1875 STATION PKWY NW, ANDOVER, MN 55304(763) 482-9598 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anna Ellis Ma, Ladc, Lpcc NPPES

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

ANNA ELLIS MA, LADC, LPCC (NPI 1679232136) is an individual mental health provider in Andover, Minnesota, licensed in Minnesota (3115) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679232136
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANNA ELLISCredential: MA, LADC, LPCC
Location Address1875 STATION PKWY NWAndover, MN 55304-3319
Mailing Address18205 45th Ave N Ste DPlymouth, MN 55446-4594
Phone(763) 482-9598
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 13, 2021
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1679232136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 3115
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 305435 (MN)
1875 STATION PKWY NW, Andover, MN 55304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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

Anna Ellis Ma, Ladc, Lpcc 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 ID1052756723
PECOS Enrollment IDI20240304003508
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.

Other Providers at the Same Location NPPES 20

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

LAUREN KEATING LADC
Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
SOPHIA C PIMSLER
Marriage & Family Therapist
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
BROOKE ANN FLEMING MS, LMFT
Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
RONDILIENNE NICHOLE CHASTANET MS, LMFT
Marriage & Family Therapist
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
KELLAN VENCIL
Counselor (Professional)
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
AMANDA CHRISTINE HOHAG M.S.
Counselor (Professional)
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
BRIAN MOORE LPCC
Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598
MRS. SHEILA LYNN KOSEK LICSW
Social Worker (Clinical)
1875 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 482-9598

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 Anna Ellis's NPI number?

The NPI number for Anna Ellis is 1679232136. It was assigned to this individual provider in the NPPES registry on December 13, 2021.

Where is Anna Ellis located?

Anna Ellis practices at 1875 Station Pkwy NW, Andover, MN 55304. The listed phone number is (763) 482-9598.

What is Anna Ellis's specialty?

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

Is Anna Ellis enrolled in Medicare?

Yes. Anna 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.

What insurance does Anna Ellis accept?

Health plans from HealthPartners list Anna 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 Anna Ellis was last updated on January 31, 2024. 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.