Anna Ellis, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39004969A Issued in IN

Practice address

1101 S 13TH St
Terre Haute, IN 47802-1409

Phone

(812) 232-3952

NPI assigned

Jun 5, 2024

Last updated

Jun 5, 2024By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chances and Services for Youth Inc.

  dba Casy

  • Clinical Social Worker
  • Terre Haute, IN
  • NPI 1598544231
  NPD

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1336980184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18210 E TERRE HAUTE RD",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619446957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 13TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021409",
            "telephone_number": "812-232-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ANNA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004969A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Smiles Dental, LLC
• Jeffrey Elkin
• Brooke Ashley Ell, NP-C
• Leah Marie Ellermann
• Erica Elliott, NP
• Caitlyn Elizabeth Ellis
• Jerika Sue Ellis, RN
• Kaylee A Ellis, DPT
• Katrina Ann Ellshoff, MA, BCBA
• Mariah Ellwood

• Mental Health Counselor in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.