NPIMap

Organization Active NPI

Ellie of Bucks LLC

Doing business as Ellie Mental Health

  • Mental Health Counselor
  • Warrington, PA
National Provider Identifier
1013630615
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELLIE OF BUCKS LLC
Doing business as
Ellie Mental Health
Practice address
865 Easton Rd Ste 180
Warrington, PA 18976-1879
Phone
(704) 780-6778
NPI assigned
Sep 20, 2022
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125002689 PA Part B Supplier - Clinic/Group Practice 3476906447 Receives reassigned benefits from 22 practitioners
Practice locations: Warrington, PA

National Provider Directory

National Provider Directory

Locations

124 DeKalb Pike
Ste 2
North Wales, PA 19454
Phone (215) 701-2932

865 Easton Rd
Ste 180
Warrington, PA 18976
Phone (215) 999-4724

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

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.

Verify at the official NPI Registry.