DAWN MARIE ELLIS LICSW, LADC
NPI 1790275196
Counselor - Professional in Thief River Falls, MN

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment
78.86/100
CMS Quality Rating
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701(218) 683-4349 Get Directions Write a Review

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dawn Marie Ellis Licsw, Ladc NPPES

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

DAWN MARIE ELLIS LICSW, LADC (NPI 1790275196) is an individual professional provider in Thief River Falls, Minnesota, licensed in Minnesota (3719) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1790275196
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDAWN MARIE ELLISCredential: LICSW, LADC
Location Address120 LABREE AVE SThief River Falls, MN 56701-2819
Mailing Address10510 State Highway 32 NeThief River Falls, MN 56701-8419 · (218) 686-0724
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 11, 2018
NPI 1790275196 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 MN · 3719
120 LABREE AVE S, Thief River Falls, MN 56701

Accepted 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

Dawn Marie Ellis Licsw, Ladc 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 ID3870842800
PECOS Enrollment IDI20180823002061
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
126 services13 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
17 services17 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.45
Promoting Interoperability99
Improvement Activities40
Cost29.78

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.

Social Worker (Clinical)
120 LABREE AVE S, NORTHWEST MEDICAL CENTER
THIEF RIVER FALLS, MN 56701
Social Worker (Clinical)
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Psychologist (Clinical)
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Dietitian, Registered
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Psychologist
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Psychiatry & Neurology (Psychiatry)
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Psychologist (Clinical)
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Counselor (Addiction (Substance Use Disorder))
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701

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 Dawn Ellis's NPI number?

The NPI number for Dawn Ellis is 1790275196. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Dawn Ellis located?

Dawn Ellis practices at 120 Labree Ave S, Thief River Falls, MN 56701. The listed phone number is (218) 683-4349.

What is Dawn Ellis's specialty?

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

Is Dawn Ellis enrolled in Medicare?

Yes. Dawn Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dawn Ellis accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Dawn Ellis 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 Dawn Ellis was last updated on May 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.