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MS. ELLEN LOUISE KORNETSKY M.S.W., L.C.S.W.
NPI 1972822211
Counselor - Mental Health in Portland, ME

Active since May 26, 2010PECOS Enrolled
75 WASHINGTON AVE, PORTLAND, ME 04101(207) 772-4110(207) 761-0748 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Ellen Louise Kornetsky M.s.w., L.c.s.w. NPPES

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

MS. ELLEN LOUISE KORNETSKY M.S.W., L.C.S.W. (NPI 1972822211) is an individual mental health provider in Portland, Maine, licensed in Maine (LC5740) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972822211
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ELLEN LOUISE KORNETSKYCredential: M.S.W., L.C.S.W.
Location Address75 WASHINGTON AVEPortland, ME 04101-2665
Mailing Address75 Washington AvePortland, ME 04101-2665 · (207) 772-4110 · Fax (207) 761-0748
Phone(207) 772-4110
Fax(207) 761-0748
Sole ProprietorNo
Enumeration DateMay 26, 2010
✔ NPI 1972822211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ME · LC5740
75 WASHINGTON AVE, Portland, ME 04101
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Ellen Louise Kornetsky M.s.w., L.c.s.w. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Ellen Kornetsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spurwink Services Incorporated
0.7 mi
Mental Health (Including Community Mental Health Center)
62 ELM ST
Portland, ME 04101
  • Reassigned Medicare billing, Maine enrollment
  • 162 clinicians in this Medicare group
NPI 1760507297 (207) 773-7811

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 19

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

ANNIE E. CASEY FOUNDATION
Case Management
75 WASHINGTON AVE
PORTLAND, ME 04101
Cumberland County (207) 772-4110
MS. ELLEN MCKENZIE LMSW-CC
Counselor (Mental Health)
75 WASHINGTON AVE
PORTLAND, ME 04101
Cumberland County (207) 772-4110
MARYANN POFF LCSW
Counselor (Mental Health)
75 WASHINGTON AVE
PORTLAND, ME 04101
Cumberland County (207) 772-4110
MS. NANCY NEAL LARSON L.C.P.C.
Counselor (Mental Health)
75 WASHINGTON AVE
PORTLAND, ME 04101
Cumberland County (207) 973-2491
MS. DALE P STEPHENSON LCSW
Counselor (Mental Health)
75 WASHINGTON AVE
PORTLAND, ME 04101
Cumberland County (207) 772-4110
LINDA ANN MORRISETTE LCSW
Social Worker (Clinical)
75 WASHINGTON AVE
PORTLAND, ME 04101
Cumberland County (207) 772-4110
LIZABETH MARIE HARRINGTON LCPC-C
Counselor (Mental Health)
75 WASHINGTON AVE
PORTLAND, ME 04101
Cumberland County (207) 772-4110
MRS. LAURA LEE SNYDER OCCUPATIONAL THERAPI
Occupational Therapist
75 WASHINGTON AVE, STE 300
PORTLAND, ME 04101
Cumberland County (207) 761-8402

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 Ellen Kornetsky's NPI number?

The NPI number for Ellen Kornetsky is 1972822211. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Where is Ellen Kornetsky located?

Ellen Kornetsky practices at 75 Washington Ave, Portland, ME 04101. The listed phone number is (207) 772-4110.

What is Ellen Kornetsky's specialty?

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

Is Ellen Kornetsky enrolled in Medicare?

Yes. Ellen Kornetsky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen Kornetsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Kornetsky reassigns Medicare benefits to Spurwink Services Incorporated (Portland, ME). 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 Ellen Kornetsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ellen Kornetsky was last updated on May 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.