NPIMap

Organization Active NPI

Ellie of Avl Central, PLLC

Doing business as Ellie Mental Health

  • Marriage & Family Therapist
  • Asheville, NC
National Provider Identifier
1194506204
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ELLIE OF AVL CENTRAL, PLLC
Doing business as
Ellie Mental Health
Practice address
77 Central Ave Ste C
Asheville, NC 28801-2451
Phone
(864) 208-5352
NPI assigned
Oct 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Mr. Patrick McEnroe, LMFTNPI 1982329777
Title
Owner
Phone
(864) 208-5352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

77 Central Ave Ste C
Asheville, NC 28801-2451

Mailing address

77 Central Ave Ste C
Asheville, NC 28801-2451
Phone (864) 208-5352

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240613000469 NC Part B Supplier - Clinic/Group Practice 6507308970 Receives reassigned benefits from 10 practitioners
Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Locations

77 Central Ave
Ste C
Asheville, NC 28801
Phone (828) 393-0902

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1194506204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CENTRAL AVE STE C",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012451",
            "telephone_number": "864-208-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CENTRAL AVE STE C",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012451",
            "telephone_number": "864-208-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE OF AVL CENTRAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "MCENROE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-208-5352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.