MRS. JESSICA ELLIS
NPI 1851775704
Counselor - Professional in Allentown, PA

Active since July 09, 2015PECOS EnrolledAccepts Medicare Assignment
2132 S 12TH ST STE 103, ALLENTOWN, PA 18103(484) 359-3447 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 25, 2020, Dec 3, 2018, Aug 23, 2017 (3 updates tracked since 2017).

About Mrs. Jessica Ellis NPPES

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

MRS. JESSICA ELLIS (NPI 1851775704) is an individual professional provider in Allentown, Pennsylvania, licensed in Pennsylvania (PC009799) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bethlehem, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1851775704
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JESSICA ELLIS
Location Address2132 S 12TH ST STE 103Allentown, PA 18103-4814
Mailing Address3664 Vista DrMacungie, PA 18062-2139
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 9, 2015
Last NPPES UpdateSeptember 25, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2020
NPI 1851775704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC009799
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2132 S 12TH ST STE 103, Allentown, PA 18103

Other Names 1

Former Name (1)Jessica Haklar

Secondary Practice Location 1

Location 12045 Westgate Dr Ste 304Bethlehem, PA 18017-7475 · Phone (610) 865-8177

Other Identifiers 1

Medicaid1851775704PA

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

Mrs. Jessica Ellis 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 ID7214464270
PECOS Enrollment IDI20251117001412
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.

Other Providers at the Same Location NPPES 11

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

Counselor
2132 S 12TH ST STE 103
ALLENTOWN, PA 18103
Counselor
2132 S 12TH ST STE 103
ALLENTOWN, PA 18103
Counselor (Professional)
2132 S 12TH ST STE 103
ALLENTOWN, PA 18103
Psychologist (Clinical)
2132 S 12TH ST STE 103
ALLENTOWN, PA 18103
Counselor (Mental Health)
2132 S 12TH ST STE 103
ALLENTOWN, PA 18103
Counselor (Professional)
2132 S 12TH ST STE 103
ALLENTOWN, PA 18103
Psychologist (School)
2132 S 12TH ST STE 103
ALLENTOWN, PA 18103
Counselor (Professional)
2132 S 12TH ST STE 103
ALLENTOWN, PA 18103

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 Jessica Ellis's NPI number?

The NPI number for Jessica Ellis is 1851775704. It was assigned to this individual provider in the NPPES registry on July 9, 2015. The provider is also known as Jessica Haklar.

Where is Jessica Ellis located?

Jessica Ellis practices at 2132 S 12th St Ste 103, Allentown, PA 18103. The listed phone number is (484) 359-3447.

What is Jessica Ellis's specialty?

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

Is Jessica Ellis enrolled in Medicare?

Yes. Jessica 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 Jessica Ellis accept?

Health plans from Providence Health Plan list Jessica 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 Jessica Ellis was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.