BETHANY LYNN ELLIS
NPI 1841866886
Counselor - Mental Health in Bel Air, MD

Active since June 01, 2021PECOS Enrolled
44 E GORDON ST, BEL AIR, MD 21014(410) 366-1980 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 11, 2025, Jun 16, 2025, Jun 1, 2021 (3 updates tracked since 2021).

About Bethany Lynn Ellis NPPES

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

BETHANY LYNN ELLIS (NPI 1841866886) is an individual mental health provider in Bel Air, Maryland, licensed in Maryland (LC17226) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Leesburg, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1841866886
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBETHANY LYNN ELLIS
Location Address44 E GORDON STBel Air, MD 21014-2916
Mailing Address102 Heritage Way NeLeesburg, VA 20176-4544 · (703) 771-5100
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 1, 2021
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1841866886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC17226
Also ListedCounselorTaxonomy 101Y00000X · License 0701015002 (VA)
44 E GORDON ST, Bel Air, MD 21014

Secondary Practice Location 1

Location 1102 Heritage Way NE Ste 302Leesburg, VA 20176-4544 · Phone (703) 771-5100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4587142369
PECOS Enrollment IDI20260203000133
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 Bethany Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
4623 FALLS RD
Baltimore, MD 21209
  • Reassigned Medicare billing, Maryland enrollment
  • 17 clinicians in this Medicare group

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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
44 E GORDON ST
BEL AIR, MD 21014
Counselor
44 E GORDON ST
BEL AIR, MD 21014
Counselor (Professional)
44 E GORDON ST
BEL AIR, MD 21014
Counselor (Professional)
44 E GORDON ST
BEL AIR, MD 21014
Social Worker (Clinical)
44 E GORDON ST
BEL AIR, MD 21014
Social Worker (Clinical)
44 E GORDON ST
BEL AIR, MD 21014
Social Worker (Clinical)
44 E GORDON ST
BEL AIR, MD 21014
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
44 E GORDON ST
BEL AIR, MD 21014

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 Bethany Ellis's NPI number?

The NPI number for Bethany Ellis is 1841866886. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Bethany Ellis located?

Bethany Ellis practices at 44 E Gordon St, Bel Air, MD 21014. The listed phone number is (410) 366-1980.

What is Bethany Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Bethany Ellis enrolled in Medicare?

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

Which organization bills Medicare for Bethany Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Ellis reassigns Medicare benefits to Family & Childrens Services Of Central Maryland Inc (Baltimore, MD). 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 Bethany Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bethany Ellis was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.