MRS. MICKENSY LEIGH ELLIS-WHITE MS, LCPC, NCC, MAC
NPI 1891287066
Counselor - Professional in Danville, IL
About Mrs. Mickensy Leigh Ellis-white Ms, Lcpc, Ncc, Mac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MICKENSY LEIGH ELLIS-WHITE MS, LCPC, NCC, MAC (NPI 1891287066) is an individual professional provider in Danville, Illinois, licensed in Illinois (180.009488) and active in the NPI registry since June 2018. She has opted out of Medicare through February 22, 2028.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Mickensy Leigh Ellis-white Ms, Lcpc, Ncc, Mac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 22, 2024 through February 22, 2028.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DANVILLE, IL 61832
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 Mickensy Ellis-white's NPI number?
The NPI number for Mickensy Ellis-white is 1891287066. It was assigned to this individual provider in the NPPES registry on June 4, 2018.
Where is Mickensy Ellis-white located?
Mickensy Ellis-white practices at 1300 E Main St, Danville, IL 61832. The listed phone number is (765) 893-1790.
What is Mickensy Ellis-white's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mickensy Ellis-white enrolled in Medicare?
No. Mickensy Ellis-white has opted out of Medicare through February 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Mickensy Ellis-white was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Mickensy Leigh Ellis-White, MS, LCPC, NCC, MAC · NPI 1891287066
Professional provider in Danville, Illinois. Individual provider, active in the CMS NPPES registry since June 4, 2018.
## Identity
- **NPI:** 1891287066 (Entity type: Individual)
- **Enumerated:** June 4, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180.009488 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1300 E MAIN ST, Danville, IL 61832-5051
- **Phone:** (765) 893-1790
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 22, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** November 17, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1891287066) · Data from the CMS NPPES public registry.