Ellen Ashley Allen

Individual provider Active NPI Professional Counselor · Sartell, MN

NPI 1043069602 · NPPES record last updated May 16, 2024

Key facts

NPI
1043069602
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
101 Dehler Dr
Sartell, MN 56377-4407
Phone
(320) 253-3512
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Family Support Services Inc. Current
since May 19, 2024
Accepting new patients
Nystrom & Associates, LTD Current
since May 19, 2024
Accepting new patients

Locations

101 Dehler Dr
Sartell, MN 56377
Phone (320) 253-3512

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

101 Dehler Dr
Sartell, MN 56377-4407

Mailing address

101 Dehler Dr
Sartell, MN 56377-4407
Phone (320) 253-3512

Other providers in Sartell, MN

All providers in Sartell, MN · Professional Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.