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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: October 18, 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
Phone(507) 453-6226
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Quartz.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Ellenburg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hiawatha Valley Mental Health Center Inc.
1.1 mi
Mental Health (Including Community Mental Health Center)
420 E SARNIA ST STE 2100
Winona, MN 55987
  • Reassigned Medicare billing, Minnesota enrollment
  • 34 clinicians in this Medicare group
NPI 1184606337 (507) 454-4341

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 20

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

KRISTIN LOUISE LAWSON PT
Physical Therapist (Ergonomics)
420 E SARNIA ST
WINONA, MN 55987
Winona County (507) 494-5761
JADE LYNN HOLEWINSKI LPCC
Counselor (Professional)
420 E SARNIA ST
WINONA, MN 55987
Winona County (507) 454-4341
JOANN SKINNER LPCC
Counselor (Mental Health)
420 E SARNIA ST
WINONA, MN 55987
Winona County (507) 474-7172
KATHRYN ELLEN ADAMS MA, LPCC
Counselor (Professional)
420 E SARNIA ST
WINONA, MN 55987
Winona County (651) 454-4341
HOLLY LYNN COURTENAY LPCC
Counselor (Professional)
420 E SARNIA ST
WINONA, MN 55987
Winona County (507) 454-4341
LAURA EICHMANN
Counselor (Addiction (Substance Use Disorder))
420 E SARNIA ST
WINONA, MN 55987
Winona County (507) 454-4341
DR. ERIN M HANSON CNP
Nurse Practitioner (Family)
420 E SARNIA ST
WINONA, MN 55987
Winona County (507) 474-7830
ASHLEY LYNN HAZEMAN
Physician Assistant
420 E SARNIA ST
WINONA, MN 55987
Winona County (507) 454-4341

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.

Which organization bills Medicare for Lisa Ellenburg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ellenburg reassigns Medicare benefits to Hiawatha Valley Mental Health Center Inc. (Winona, MN). 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 Lisa Ellenburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 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.