ELLEN CALLIE MCGOVERN LMHC
NPI 1770258162
Counselor - Mental Health in Brooklyn, NY

Active since August 09, 2021PECOS Enrolled
718 WASHINGTON AVE APT 2F, BROOKLYN, NY 11238(240) 997-9380 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 27, 2023, Aug 9, 2021 (2 updates tracked since 2021).

About Ellen Callie Mcgovern Lmhc NPPES

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

ELLEN CALLIE MCGOVERN LMHC (NPI 1770258162) is an individual mental health provider in Brooklyn, New York, licensed in New York (012324) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2020).

NPPES Registry Identity

NPI1770258162
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELLEN CALLIE MCGOVERNCredential: LMHC
Location Address718 WASHINGTON AVE APT 2FBrooklyn, NY 11238-4045
Mailing Address718 Washington Ave Apt 2fBrooklyn, NY 11238-4045 · (240) 997-9380
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2020
Enumeration DateAugust 9, 2021
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
NPI 1770258162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 012324
718 WASHINGTON AVE APT 2F, Brooklyn, NY 11238

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ellen Callie Mcgovern Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416439252
PECOS Enrollment IDI20260303000089
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770258162, enumerated as an "individual" on August 09, 2021.

The provider is located at 718 WASHINGTON AVE APT 2F BROOKLYN, NY 11238 and the phone number is (240) 997-9380.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.