Victoria Ellington-Deitz, LPC-IT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1999-226 Issued in WI

Practice address

2002 Atwood Ave
Suite 217
Madison, WI 53704-5368

Phone

(608) 244-4859

NPI assigned

Jan 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Victoria M. Ellington Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Insight Counseling & Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1447673702
  Medicare reassignment NPD

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1154743367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 ATWOOD AVE",
            "address_2": "SUITE 217",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045368",
            "telephone_number": "608-244-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ATWOOD AVE",
            "address_2": "SUITE 217",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045368",
            "telephone_number": "608-244-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON-DEITZ",
        "first_name": "VICTORIA",
        "credential": "LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1999-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "ELLINGTON",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Ellifson, PT
• Bridget C. Ellingboe, M.S.
• Arlene Marie Ellingson, RPH
• Caleb Ellingson, MD
• William Romaine Ellingson
• Emma Elliott
• Hal Elliott, RN
• Jacob Joshua Elliott, MD
• Jamie Elliott, MD, PHD
• Mary Elizabeth Elliott, PHARMD

• Mental Health Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.