JENNIFER LYNN ELLENSON
NPI 1952172272
Counselor - Professional in Beloit, WI

Active since January 15, 2024PECOS EnrolledAccepts Medicare Assignment
540 E GRAND AVE, BELOIT, WI 53511(608) 368-8087 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer Lynn Ellenson NPPES

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

JENNIFER LYNN ELLENSON (NPI 1952172272) is an individual professional provider in Beloit, Wisconsin, licensed in Wisconsin (11805-125) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1952172272
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER LYNN ELLENSON
Location Address540 E GRAND AVEBeloit, WI 53511-6314
Mailing Address540 E Grand AveBeloit, WI 53511-6314 · (608) 368-8087
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 15, 2024
Last NPPES UpdateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1952172272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 11805-125
540 E GRAND AVE, Beloit, WI 53511

Other Names 1

Former Name (1)Jennifer Lynn Miller

Accepted 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

Jennifer Lynn Ellenson 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 ID6406360189
PECOS Enrollment IDI20250707000140
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

2

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

Mental Health (Including Community Mental Health Center)
540 E GRAND AVE
Beloit, WI 53511
  • Reassigned Medicare billing, Wisconsin enrollment
  • 34 clinicians in this Medicare group
Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group

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.

Optometrist
540 E GRAND AVE
BELOIT, WI 53511
Nurse Practitioner (Psychiatric/Mental Health)
540 E GRAND AVE
BELOIT, WI 53511
Social Worker
540 E GRAND AVE
BELOIT, WI 53511
Social Worker (Clinical)
540 E GRAND AVE
BELOIT, WI 53511
Social Worker (Clinical)
540 E GRAND AVE
BELOIT, WI 53511
Social Worker (Clinical)
540 E GRAND AVE
BELOIT, WI 53511
Social Worker (Clinical)
540 E GRAND AVE
BELOIT, WI 53511
Social Worker
540 E GRAND AVE
BELOIT, WI 53511

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 Jennifer Ellenson's NPI number?

The NPI number for Jennifer Ellenson is 1952172272. It was assigned to this individual provider in the NPPES registry on January 15, 2024. The provider is also known as Jennifer Lynn Miller.

Where is Jennifer Ellenson located?

Jennifer Ellenson practices at 540 E Grand Ave, Beloit, WI 53511. The listed phone number is (608) 368-8087.

What is Jennifer Ellenson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Ellenson enrolled in Medicare?

Yes. Jennifer Ellenson 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 Jennifer Ellenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Ellenson reassigns Medicare benefits to 2 organizations: Stateline Mental Health Services (Beloit, WI) and Cornerstone Counseling Services, Inc (Brookfield, WI). 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 Jennifer Ellenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Ellenson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and MercyCare Health Plans and 3 other insurers list Jennifer Ellenson 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 Jennifer Ellenson was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.