IVY ELLEN JEAN PHELPS LCSW, CSAC
NPI 1720509292
Counselor - Addiction (Substance Use Disorder) in West Allis, WI

Q: What is Ivy Phelps's NPI number?

The NPI number for Ivy Phelps is 1720509292. It was assigned to this individual provider in the NPPES registry on July 5, 2017. The provider is also known as Ivy Ellen Jean Sturgen (previous) (married Name).

Q: What is Ivy Phelps's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Ivy Phelps was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment

2814 S 108TH ST, WEST ALLIS, WI 53227(414) 885-3525 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Apr 8, 2022, Jul 5, 2017 (3 updates tracked since 2017).

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About Ivy Ellen Jean Phelps Lcsw, Csac NPPES

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

IVY ELLEN JEAN PHELPS LCSW, CSAC (NPI 1720509292) is an individual addiction (substance use disorder) provider in West Allis, Wisconsin, licensed in Wisconsin (15687-132) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720509292

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameIVY ELLEN JEAN PHELPSCredential: LCSW, CSAC

Location Address2814 S 108TH STWest Allis, WI 53227-3224

Mailing Address2814 S 108th StWest Allis, WI 53227-3224 · (414) 885-3525

Phone(414) 885-3525

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJuly 5, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedApril 8, 2022

✔ NPI 1720509292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 15687-132

2814 S 108TH ST, West Allis, WI 53227

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Other Names 1

Former Name (1)Ivy Ellen Jean Sturgen (previous) (married Name)

Accepted Insurance

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

Ivy Ellen Jean Phelps Lcsw, Csac 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 ID1850881608

PECOS Enrollment IDI20251110000829

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.

LASHAWNA THOMAS

Counselor (Addiction (Substance Use Disorder))