DR. BRENT MICHAEL ELLENS PSY.D.
NPI 1932145729
Psychologist - Clinical in Holland, MI

Q: What is Brent Ellens's NPI number?

The NPI number for Brent Ellens is 1932145729. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Q: What is Brent Ellens's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Brent Ellens was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment

720 E 8TH ST STE 2, HOLLAND, MI 49423(616) 355-0549(616) 355-0480 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2022, Nov 16, 2021 (2 updates tracked since 2021).

On this page

About Dr. Brent Michael Ellens Psy.d. NPPES

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

DR. BRENT MICHAEL ELLENS PSY.D. (NPI 1932145729) is an individual clinical provider in Holland, Michigan, licensed in Michigan (6301011810) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1932145729

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BRENT MICHAEL ELLENSCredential: PSY.D.

Location Address720 E 8TH ST STE 2Holland, MI 49423-3079

Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000

Phone(616) 355-0549

Fax(616) 355-0480

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJune 21, 2006

Last NPPES UpdateJanuary 7, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2022

✔ NPI 1932145729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301011810

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

720 E 8TH ST STE 2, Holland, MI 49423

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Secondary Practice Location 1

Location 1300 68th St SEGrand Rapids, MI 49548-6927 · Phone (616) 455-5000

Other Identifiers 1

OtherP101976540MI · Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Dr. Brent Michael Ellens Psy.d. 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 ID5799670931

PECOS Enrollment IDI20040217000985

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 Reassignments

Medicare enrollment records show Brent Ellens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Counseling & Consultation Resources PC

Same address

Mental Health (Including Community Mental Health Center)

720 E 8TH ST, SUITE 2
Holland, MI 49423

Reassigned Medicare billing, Michigan enrollment

NPI 1013060151 (616) 355-0549

Pine Rest Christian Mental Health Services

22 mi

Professional

300 68TH ST SE
Grand Rapids, MI 49548

Reassigned Medicare billing, Michigan enrollment
135 clinicians in this Medicare group

NPI 1386015683 (616) 281-6372

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Brent Ellens's NPI number?

The NPI number for Brent Ellens is 1932145729. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Brent Ellens located?

Brent Ellens practices at 720 E 8th St Ste 2, Holland, MI 49423. The listed phone number is (616) 355-0549.

What is Brent Ellens's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Brent Ellens enrolled in Medicare?

Yes. Brent Ellens 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 organizations bill Medicare for Brent Ellens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Ellens reassigns Medicare benefits to 2 organizations: Counseling & Consultation Resources PC (Holland, MI) and Pine Rest Christian Mental Health Services (Grand Rapids, MI). Each 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 Brent Ellens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brent Ellens accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Brent Ellens 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 Brent Ellens was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.