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AMANDA ELLINGSEN
NPI 1982267308
Marriage & Family Therapist in Nashville, TN

Active since April 22, 2019Opted out of Medicare · through Jan 1, 2028
600 12TH AVE S APT 522, NASHVILLE, TN 37203(760) 579-2303 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Ellingsen NPPES

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

AMANDA ELLINGSEN (NPI 1982267308) is an individual marriage & family therapist in Nashville, Tennessee, licensed in Tennessee (1266) and active in the NPI registry since April 2019. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1982267308
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAMANDA ELLINGSEN
Location Address600 12TH AVE S APT 522Nashville, TN 37203-6619
Mailing Address600 12th Ave S Apt 522Nashville, TN 37203-6619 · (760) 579-2303
Phone(760) 579-2303
Sole ProprietorYes
Enumeration DateApril 22, 2019
✔ NPI 1982267308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in TN · 1266
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
600 12TH AVE S APT 522, Nashville, TN 37203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Amanda Ellingsen has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Amanda Ellingsen's NPI number?

The NPI number for Amanda Ellingsen is 1982267308. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Amanda Ellingsen located?

Amanda Ellingsen practices at 600 12th Ave S Apt 522, Nashville, TN 37203. The listed phone number is (760) 579-2303.

What is Amanda Ellingsen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Amanda Ellingsen enrolled in Medicare?

No. Amanda Ellingsen has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Ellingsen was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.