Active NPI
Melissa Anne Ellison, MS
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1336483528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2155
- Practice address
- 18049 Oak St Ste B
Omaha, NE 68130-6093 - Phone
- (402) 680-2699
- NPI assigned
- Nov 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001740 | IA | |
| Mental Health Counselor | 101YM0800X | 2155 | NE | Primary |
Addresses
Primary practice location
18049 Oak St Ste B
Omaha, NE 68130-6093
Mailing address
18049 Oak St Ste B
Omaha, NE 68130-6093
Phone (402) 680-2699
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2155 | NE | MD | Mental Health Counselor |
| 001740 | IA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1336483528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18049 OAK ST STE B",
"city": "OMAHA",
"state": "NE",
"postal_code": "681306093",
"telephone_number": "402-680-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18049 OAK ST STE B",
"city": "OMAHA",
"state": "NE",
"postal_code": "681306093",
"telephone_number": "402-680-2699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLISON",
"first_name": "MELISSA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-12",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "001740",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.