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PETER ELLISON LPC, CCDP-D
NPI 1831646066
Counselor - Professional in Breinigsville, PA

Active since September 06, 2016PECOS EnrolledAccepts Medicare Assignment
628 TWIN PONDS RD, BREINIGSVILLE, PA 18031(484) 263-0197 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Peter Ellison Lpc, Ccdp-d NPPES

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

PETER ELLISON LPC, CCDP-D (NPI 1831646066) is an individual professional provider in Breinigsville, Pennsylvania, licensed in Pennsylvania (PC008997) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1831646066
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePETER ELLISONCredential: LPC, CCDP-D
Location Address628 TWIN PONDS RDBreinigsville, PA 18031-1843
Mailing Address628 Twin Ponds RdBreinigsville, PA 18031-1843 · (484) 263-0197
Phone(484) 263-0197
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 6, 2016
Last NPPES UpdateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1831646066 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 PA · PC008997
628 TWIN PONDS RD, Breinigsville, PA 18031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Ellison Lpc, Ccdp-d 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 ID1153766795
PECOS Enrollment IDI20240305002078
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.

Medicare Billing Reassignment

Medicare enrollment records show Peter Ellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nulton Diagnostic & Treatment Center, PC
171 mi
Neurodevelopmental Disabilities
214 COLLEGE PARK PLZ
Johnstown, PA 15904
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 47 clinicians in this Medicare group
NPI 1073573010 (814) 262-0025

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

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.

JESSICA SIMPSON LSW
Social Worker
628 TWIN PONDS RD
BREINIGSVILLE, PA 18031
Lehigh County (484) 263-0197
MELISSA DITARANTO LPC
Counselor (Professional)
628 TWIN PONDS RD
BREINIGSVILLE, PA 18031
Lehigh County (484) 263-0197
WADED BAQUERIZO MAHUAD M.A.
Counselor (Mental Health)
628 TWIN PONDS RD
BREINIGSVILLE, PA 18031
Lehigh County (484) 263-0197
INTEGRATIVE PATH LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
628 TWIN PONDS RD
BREINIGSVILLE, PA 18031
Lehigh County (484) 263-0197
ADVOCATES FOR BEHAVIORAL CHANGE
Psychologist (Counseling)
628 TWIN PONDS RD
BREINIGSVILLE, PA 18031
Lehigh County (610) 434-7820
ROSLYN DEBBIE BIRNBAUM LPC
Counselor (Professional)
628 TWIN PONDS RD
BREINIGSVILLE, PA 18031
Lehigh County (484) 263-0197
SUZANNE C HASTIE MA,BC-DMT,NCC,LPC
Counselor (Professional)
628 TWIN PONDS RD
BREINIGSVILLE, PA 18031
Lehigh County (610) 417-0831
MRS. SARA B DUDA LCSW
Social Worker (Clinical)
628 TWIN PONDS RD
BREINIGSVILLE, PA 18031
Lehigh County (484) 263-0197

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 Peter Ellison's NPI number?

The NPI number for Peter Ellison is 1831646066. It was assigned to this individual provider in the NPPES registry on September 6, 2016.

Where is Peter Ellison located?

Peter Ellison practices at 628 Twin Ponds Rd, Breinigsville, PA 18031. The listed phone number is (484) 263-0197.

What is Peter Ellison's specialty?

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

Is Peter Ellison enrolled in Medicare?

Yes. Peter Ellison 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.

Which organization bills Medicare for Peter Ellison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Ellison reassigns Medicare benefits to Nulton Diagnostic & Treatment Center, PC (Johnstown, PA). The 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 Peter Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Ellison accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Peter Ellison 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 Peter Ellison was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.