Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELLERY WREN LPC
NPI 1730052614
Counselor - Professional in Bellingham, WA

Active since September 25, 2025Opted out of Medicare · through Jul 23, 2028
337 S STATE ST # 2, BELLINGHAM, WA 98225(214) 997-0944 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellery Wren Lpc NPPES

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

ELLERY WREN LPC (NPI 1730052614) is an individual professional provider in Bellingham, Washington, licensed in Texas (95184) and active in the NPI registry since September 2025. She has opted out of Medicare through July 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1730052614
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELLERY WRENCredential: LPC
Location Address337 S STATE ST # 2Bellingham, WA 98225-5826
Mailing Address337 S State St Apt 2Bellingham, WA 98225-5840 · (214) 997-0944
Sole ProprietorNo
Enumeration DateSeptember 25, 2025
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1730052614 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 TX · 95184
337 S STATE ST # 2, Bellingham, WA 98225

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Ellery Wren Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 23, 2026 through July 23, 2028.

Opt-Out Effective DateJuly 23, 2026
Opt-Out In Effect ThroughJuly 23, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Ellery Wren's NPI number?

The NPI number for Ellery Wren is 1730052614. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Ellery Wren located?

Ellery Wren practices at 337 S State St # 2, Bellingham, WA 98225. The listed phone number is (214) 997-0944.

What is Ellery Wren's specialty?

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

Is Ellery Wren enrolled in Medicare?

No. Ellery Wren has opted out of Medicare through July 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ellery Wren was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.