Active NPI
Nicole Ellerbe, MA, LCMHC
- Professional Counselor
- Harrisburg, NC
National Provider Identifier
1164949616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12781
- Practice address
- 4351 Main St Ste 215
Harrisburg, NC 28075-7429 - Phone
- (843) 421-3032
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12781 | NC | Primary |
Addresses
Primary practice location
4351 Main St Ste 215
Harrisburg, NC 28075-7429
Mailing address
4204 Spring Oak Dr
Charlotte, NC 28208-0503
Phone (843) 421-3032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JLN Counseling, PLLC | Mental Health | Current | Accepting new patients |
Locations
4351 Main St
Ste 215
Harrisburg, NC 28075
Phone (704) 456-7078
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1164949616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 SPRING OAK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282080503",
"telephone_number": "843-421-3032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 MAIN ST STE 215",
"city": "HARRISBURG",
"state": "NC",
"postal_code": "280757429",
"telephone_number": "843-421-3032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLERBE",
"first_name": "NICOLE",
"credential": "MA, LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2022-07-06",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "12781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, NC
- Dr. Trey Miller, DDS PLLC (Smile Solutions Dentistry)
- Caitlin Shinn Duvall, FNP
- Monica Ebert
- Ec Opco Harrisburg LP (Elmcroft of Harrisburg)
- Eckerd Corporation (Rite Aid Pharmacy 11446)
- Essential Wellness Counseling PLLC
- Chidinma Maureen Ezennaka, DNP-FNP
- Richard A. Fellman, MD
- Angela Darlene Ferguson, LCMHC
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.