Caitlin Ellis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10461-125 Issued in WI

Practice address

725 Heartland TRL Ste 301
Madison, WI 53717-1978

Phone

(608) 205-4450

NPI assigned

Jul 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Edelweiss Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1194128785
  NPD

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1245069939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HEARTLAND TRL STE 301",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171978",
            "telephone_number": "608-205-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HEARTLAND TRL STE 301",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171978",
            "telephone_number": "608-205-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CAITLIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10461-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Joshua Elliott, MD
• Jamie Elliott, MD, PHD
• Mary Elizabeth Elliott, PHARMD
• Mekinzee Mae Elliott, MD
• Patrick S Elliott, DDS
• Christine Ellis, M.A., M.S., LPC
• Gayle M. Ellis
• Molly Ellis, RD, DC
• Rachel Ellis, LCSW, SAC-IT
• Richard L Ellis, MD

• Professional Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.