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

NPI Status: Active since September 21, 2023

Contact Information

420 E SARNIA ST
WINONA, MN
ZIP 55987
Phone: (507) 453-6226

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  • Individual
  • Female
  • Years of Experience 6
  • Counselor
  • Mental Health
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LISA ELLENBURG

This page provides the complete NPI Profile along with additional information for Lisa Ellenburg, a provider established in Winona, Minnesota with a medical specialization in Counselor, focusing in mental health and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1922886779 assigned on September 2023. The practitioner's primary taxonomy code is 101YM0800X with license number 30822 (MN). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1922886779
Provider Name
LISA MICHELLE ELLENBURG LICSW
Gender
Female
Entity Type
Individual
Location Address
420 E SARNIA ST WINONA, MN 55987
Location Phone
(507) 453-6226
Mailing Address
368 W WABASHA ST WINONA, MN 55987
Mailing Phone
(507) 429-1967
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
09-21-2023
Last Update Date
09-21-2023
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A mental health counselor like Lisa Ellenburg provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
30822
License State
MN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

30822 (MN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Lisa Ellenburg is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Lisa Ellenburg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1759737778

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231027001266

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for LISA MICHELLE ELLENBURG LICSW

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922886779, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 8 → 16 → 7 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 1 + 6 + 8 + 1 + 2 + 7 + 1 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1922886779.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist (Ergonomics)
420 E SARNIA ST
WINONA, MN 55987
Physical Therapist
420 E SARNIA ST
WINONA, MN 55987
Non-Pharmacy Dispensing Site
420 E SARNIA ST
WINONA, MN 55987
Speech-Language Pathologist
420 E SARNIA ST
WINONA, MN 55987
Nurse Practitioner (Family)
420 E SARNIA ST
WINONA, MN 55987
Physician Assistant (Medical)
420 E SARNIA ST
WINONA, MN 55987
Psychologist (Clinical)
420 E SARNIA ST
WINONA, MN 55987
Psychologist
420 E SARNIA ST
WINONA, MN 55987
Social Worker (Clinical)
420 E SARNIA ST
WINONA, MN 55987
Counselor (Addiction (Substance Use Disorder))
420 E SARNIA ST
WINONA, MN 55987
Counselor (Professional)
420 E SARNIA ST
WINONA, MN 55987
Social Worker (Clinical)
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
Social Worker (Clinical)
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
Psychologist (Clinical)
420 E SARNIA ST
WINONA, MN 55987
Counselor (Addiction (Substance Use Disorder))
420 E SARNIA ST
WINONA, MN 55987
Counselor (Mental Health)
420 E SARNIA ST
WINONA, MN 55987

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922886779, enumerated as an "individual" on September 21, 2023.

The provider is located at 420 E SARNIA ST WINONA, MN 55987 and the phone number is (507) 453-6226.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: HealthPartners and Quartz. Please consult your insurance carrier or call the provider to verify.