Individual provider Active NPI

Elizabeth Ann Sellari, LPC-MHSP

  • Professional Counselor
  • Jackson, TN
National Provider Identifier
1134345754
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5806 Issued in TN
Practice address
1104 N Parkway Apt 3
Jackson, TN 38305-5010
Phone
(731) 277-9786
NPI assigned
Apr 18, 2007
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5806 TN Primary

Addresses

Primary practice location

1104 N Parkway Apt 3
Jackson, TN 38305-5010

Mailing address

1104 N Parkway Apt 3
Jackson, TN 38305-5010
Phone (731) 277-9786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929002361 TN Practitioner - Mental Health Counselor 8123524246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

400 Balsam Dr
Knoxville, TN 37918-3001
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Sep 10, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elizabeth.sellari.1@22469.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1134345754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N PARKWAY APT 3",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055010",
            "telephone_number": "731-277-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N PARKWAY APT 3",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055010",
            "telephone_number": "731-277-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLARI",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.