JENNIFER LYNN ELLISON LPC
NPI 1699524637
Counselor in Sandpoint, ID

Q: What is Jennifer Ellison's NPI number?

The NPI number for Jennifer Ellison is 1699524637. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Q: What is Jennifer Ellison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Ellison was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since May 14, 2024PECOS Enrolled

1033 BALDY MOUNTAIN RD, SANDPOINT, ID 83864(208) 920-5151 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jennifer Lynn Ellison Lpc NPPES

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

JENNIFER LYNN ELLISON LPC (NPI 1699524637) is an individual counselor in Sandpoint, Idaho, licensed in Idaho (LPC-10373) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699524637

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJENNIFER LYNN ELLISONCredential: LPC

Location Address1033 BALDY MOUNTAIN RDSandpoint, ID 83864-9202

Mailing Address1033 Baldy Mountain RdSandpoint, ID 83864-9202 · (208) 920-5151

Phone(208) 920-5151

Sole ProprietorNo

Enumeration DateMay 14, 2024

Last NPPES UpdateApril 16, 2025

NPPES CertifiedApril 16, 2025

✔ NPI 1699524637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in ID · LPC-10373

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 · License LPC-10373 (ID)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC-10373 (ID)

1033 BALDY MOUNTAIN RD, Sandpoint, ID 83864

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Lynn Ellison Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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

ROBIN DOVE LPC

Counselor (Mental Health)