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MELODY JOYCE ELLIS
NPI 1760145528
Counselor - Professional in Bloomington, IL

Active since October 19, 2021
108 W MARKET ST, BLOOMINGTON, IL 61701(309) 827-5351 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melody Joyce Ellis NPPES

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

MELODY JOYCE ELLIS (NPI 1760145528) is an individual professional provider in Bloomington, Illinois, licensed in Illinois (178007977) and active in the NPI registry since October 2021. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1760145528
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMELODY JOYCE ELLIS
Location Address108 W MARKET STBloomington, IL 61701-3918
Mailing Address108 W Market StBloomington, IL 61701-3918 · (309) 827-5351
Phone(309) 827-5351
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
✔ NPI 1760145528 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 IL · 178007977
108 W MARKET ST, Bloomington, IL 61701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melody Joyce Ellis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961847280
PECOS Enrollment IDI20240227001155

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.

THERESA KAUTH
Nurse Practitioner (Family)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
TIMOTHY ROBERT WRIGHT
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
BRYNNA A PORCH
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
MR. JOSHUA BECKWITH
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
BRIDGET W MWAURA
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
JOANNE LILLIAN MECHERLE
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
KEVIN PETER CRUTCHER
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
DEAN CONSTANTOPALOS
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351

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 Melody Ellis's NPI number?

The NPI number for Melody Ellis is 1760145528. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Melody Ellis located?

Melody Ellis practices at 108 W Market St, Bloomington, IL 61701. The listed phone number is (309) 827-5351.

What is Melody Ellis's specialty?

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

Is Melody Ellis enrolled in Medicare?

Yes. Melody Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melody Ellis was last updated on October 19, 2021. 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.