ELLIE MENTAL HEALTH LIVE AUTHENTIC PLLC
NPI 1760193031
Psychologist - Counseling in Novi, MI

Active since December 07, 2022
41800 W 11 MILE RD STE 110, NOVI, MI 48375(947) 219-1283 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2025, May 9, 2023, Dec 7, 2022 (3 updates tracked since 2022).

About Ellie Mental Health Live Authentic Pllc NPPES

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

ELLIE MENTAL HEALTH LIVE AUTHENTIC PLLC (NPI 1760193031), doing business as Ellie Mental Health, is a healthcare organization registered as a counseling in Novi, Michigan and active in the NPI registry since December 2022. The organization maintains a secondary practice location in West Bloomfield and lists Jeff Mcdonald, Operations Manger, as its authorized official.

NPPES Registry Identity

NPI1760193031
Entity TypeOrganization
Primary Taxonomy103TC1900X
Legal Business NameELLIE MENTAL HEALTH LIVE AUTHENTIC PLLC
Location Address41800 W 11 MILE RD STE 110Novi, MI 48375-1818
Mailing Address41800 W 11 Mile Rd Ste 110Novi, MI 48375-1818 · (947) 219-1283
Organization SubpartNo
Authorized OfficialJeff McdonaldOperations Manger · (810) 302-4777
Enumeration DateDecember 7, 2022
Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1760193031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
41800 W 11 MILE RD STE 110, Novi, MI 48375

Other Names 1

Doing Business AsEllie Mental Health

Secondary Practice Location 1

Location 16960 Orchard Lake Rd Ste 202West Bloomfield, MI 48322 · Phone (248) 985-9942

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellie Mental Health Live Authentic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Ellie Mental Health Live Authentic PLLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Clinical Social Worker6
Mental Health Counselor6

Clinicians, nearest first (12)

Clinical Social Worker
NPI 1427625409
41800 W 11 MILE RD STE 110
Novi, MI 48375
(947) 219-1283
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1861638355
41800 W 11 MILE RD STE 110
Novi, MI 48375
(877) 693-5543
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1508338229
41800 W 11 MILE RD STE 110
Novi, MI 48375
(947) 219-1283
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1760054076
41800 W 11 MILE RD STE 110
Novi, MI 48375
(877) 693-5543
✔ PECOSSame address
Mental Health Counselor
NPI 1780392985
41800 W 11 MILE RD STE 110
Novi, MI 48375
(877) 693-5543
✔ PECOSSame address
Clinical Social Worker
NPI 1508984568
28175 HAGGERTY RD
Novi, MI 48377
(734) 646-5327
✔ PECOS✔ Accepts Medicare1.7 mi
Clinical Social Worker
NPI 1215707237
6960 ORCHARD LAKE RD STE 202
West Bloomfield, MI 48322
(248) 985-9942
✔ PECOS✔ Accepts Medicare6.2 mi
Clinical Social Worker
NPI 1962783662
6960 ORCHARD LAKE RD STE 202
West Bloomfield, MI 48322
(877) 693-5543
✔ PECOS6.2 mi
Mental Health Counselor
NPI 1265297378
6960 ORCHARD LAKE RD STE 202
West Bloomfield, MI 48322
(248) 985-9942
✔ PECOS6.2 mi
Clinical Social Worker
NPI 1275867574
3001 4TH ST
Wayne, MI 48184
(734) 419-2200
✔ PECOS14 mi
Mental Health Counselor
NPI 1124743729
2399 E WALTON BLVD
Auburn Hills, MI 48326
(248) 475-6300
✔ PECOS18 mi
Clinical Social Worker
NPI 1245581388
79 W ALEXANDRINE ST
Detroit, MI 48201
(313) 831-5535
✔ PECOS22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ellie Mental Health Live Authentic PLLC's NPI number?

The NPI number for Ellie Mental Health Live Authentic PLLC is 1760193031. It was assigned to this organization in the NPPES registry on December 7, 2022. The provider is doing business as Ellie Mental Health.

Where is Ellie Mental Health Live Authentic PLLC located?

Ellie Mental Health Live Authentic PLLC is located at 41800 W 11 Mile Rd Ste 110, Novi, MI 48375. The listed phone number is (947) 219-1283.

What is Ellie Mental Health Live Authentic PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Ellie Mental Health Live Authentic PLLC enrolled in Medicare?

Yes. Ellie Mental Health Live Authentic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ellie Mental Health Live Authentic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Ellie Mental Health Live Authentic PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (6) and Mental Health Counselor (6). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ellie Mental Health Live Authentic PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ellie Mental Health Live Authentic PLLC 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 Ellie Mental Health Live Authentic PLLC was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.