Individual provider Active NPI

Ellen Zazulak, M.S, LPC

  • Professional Counselor
  • Elizabethtown, PA
National Provider Identifier
1225497340
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC015865 Issued in PA
Practice address
232 Bullrush LDG
Elizabethtown, PA 17022-9338
Phone
(610) 597-1787
NPI assigned
Feb 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Professional Counselor 101YP2500X PC015865 PA Primary

Addresses

Primary practice location

232 Bullrush LDG
Elizabethtown, PA 17022-9338

Mailing address

3300 Board Rd
York, PA 17406-8409
Phone (610) 597-1787

Other practice location 1

3300 Board Rd
York, PA 17406-8409
Phone (610) 597-1787

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 Science

State licenses

LicenseStateTypeSpecialty
PC015865PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lift Your Mind LLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

3300 Board Rd
York, PA 17406
Phone (610) 597-1787

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": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1225497340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BOARD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174068409",
            "telephone_number": "610-597-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BULLRUSH LDG",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229338",
            "telephone_number": "610-597-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Board Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174068409",
            "country_code": "US",
            "telephone_number": "610-597-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAZULAK",
        "first_name": "ELLEN",
        "credential": "M.S, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.