Active NPI
Ellie of Bucks LLC
- Mental Health Counselor
- Warrington, PA
National Provider Identifier
1013630615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ELLIE OF BUCKS LLC
- Practice address
- 865 Easton Rd Ste 180
Warrington, PA 18976-1879 - Phone
- (704) 780-6778
- NPI assigned
- Sep 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Simple Patel
- Title
- Owner
- Phone
- (704) 780-6778
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
865 Easton Rd Ste 180
Warrington, PA 18976-1879
Mailing address
629 Meehan Dr
Warrington, PA 18976-1781
Phone (704) 780-6778
Other names 1
- Ellie Mental Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240125002689 | PA | Part B Supplier - Clinic/Group Practice | 3476906447 |
Receives reassigned benefits from 22 practitioners Practice locations: Warrington, PA |
National Provider Directory
National Provider DirectoryLocations
865 Easton Rd
Ste 180
Warrington, PA 18976
Phone (215) 999-4724
Practitioners & affiliated clinicians
Practitioners 28
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Warrington, PA
- NPI 1568747020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704412800000",
"number": "1013630615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 MEEHAN DR",
"city": "WARRINGTON",
"state": "PA",
"postal_code": "189761781",
"telephone_number": "704-780-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 EASTON RD STE 180",
"city": "WARRINGTON",
"state": "PA",
"postal_code": "189761879",
"telephone_number": "704-780-6778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLIE OF BUCKS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-20",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "SIMPLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-780-6778"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ellie Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Warrington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.