LISA MICHELLE ELLENBURG LICSW
NPI 1922886779
Counselor - Mental Health in Winona, MN

Active since September 21, 2023PECOS EnrolledAccepts Medicare Assignment
420 E SARNIA ST, WINONA, MN 55987(507) 453-6226 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Michelle Ellenburg Licsw NPPES

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

LISA MICHELLE ELLENBURG LICSW (NPI 1922886779) is an individual mental health provider in Winona, Minnesota, licensed in Minnesota (30822) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922886779
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA MICHELLE ELLENBURGCredential: LICSW
Location Address420 E SARNIA STWinona, MN 55987-6365
Mailing Address368 W Wabasha StWinona, MN 55987-5201 · (507) 429-1967
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
NPI 1922886779 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 MN · 30822
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 30822 (MN)
420 E SARNIA ST, Winona, MN 55987

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

Lisa Michelle Ellenburg Licsw 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 ID1759737778
PECOS Enrollment IDI20231027001266
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 20

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

Physical Therapist (Ergonomics)
420 E SARNIA ST
WINONA, MN 55987
Counselor (Professional)
420 E SARNIA ST
WINONA, MN 55987
Counselor (Mental Health)
420 E SARNIA ST
WINONA, MN 55987
Counselor (Professional)
420 E SARNIA ST
WINONA, MN 55987
Counselor (Professional)
420 E SARNIA ST
WINONA, MN 55987
Counselor (Addiction (Substance Use Disorder))
420 E SARNIA ST
WINONA, MN 55987
Nurse Practitioner (Family)
420 E SARNIA ST
WINONA, MN 55987
Physician Assistant
420 E SARNIA ST
WINONA, MN 55987

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 Lisa Ellenburg's NPI number?

The NPI number for Lisa Ellenburg is 1922886779. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Lisa Ellenburg located?

Lisa Ellenburg practices at 420 E Sarnia St, Winona, MN 55987. The listed phone number is (507) 453-6226.

What is Lisa Ellenburg's specialty?

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

Is Lisa Ellenburg enrolled in Medicare?

Yes. Lisa Ellenburg 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 Lisa Ellenburg accept?

Health plans from HealthPartners and Quartz list Lisa Ellenburg 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 Lisa Ellenburg was last updated on September 21, 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.