Individual provider Active NPI

Ellen Larabee, LPCC

  • Mental Health Counselor
  • Bowling Green, OH
National Provider Identifier
1306200928
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1300380 Issued in OH
Practice address
816 Brittany Ave
Bowling Green, OH 43402-1511
Phone
(419) 575-2298
NPI assigned
Apr 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C1300380 OH Primary

Addresses

Primary practice location

816 Brittany Ave
Bowling Green, OH 43402-1511

Mailing address

1234 Ridgewood Dr Ste C
Bowling Green, OH 43402-2695

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240611002603 OH Practitioner - Mental Health Counselor 6406398007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presence of Mind CounselingGroup PAC ID 4688116288, 2 clinicians

Practice addresses (Care Compare)

1234 Ridgewood Dr
Suite C
Bowling Green, OH 43402-2695
Phone (419) 408-5533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1300380OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Presence of Mind Counseling Mental Health CurrentSince Jun 9, 2022 Accepting new patients
Viaquest Psychiatric & Behavioral Solutions LLC PastSince Feb 1, 2024 Accepting new patients
The Willow Center Past Accepting new patients

Locations

1234 Ridgewood Dr
Ste C
Bowling Green, OH 43402
Phone (419) 408-5533

Organizations & group practices 3

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": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1306200928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 RIDGEWOOD DR STE C",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 BRITTANY AVE",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021511",
            "telephone_number": "419-575-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARABEE",
        "first_name": "ELLEN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C1300380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.