Chantalle Ellis, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

933-1-1-18-395 Issued in ND

Practice address

2525 E Rosser Ave Ste 4
Bismarck, ND 58501-5017

Phone

(701) 751-4122

Fax

(701) 751-1728

NPI assigned

Jan 17, 2018

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

Enrolled in ND

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bismarck Psychological Associates PLLCGroup PAC ID 6608162201, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Bismarck Psychological Associates, PLLC

  • Psychologist
  • Bismarck, ND
  • NPI 1144670019
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1366950917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E ROSSER AVE STE 4",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015017",
            "telephone_number": "701-751-4122",
            "fax_number": "701-751-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E ROSSER AVE STE 4",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015017",
            "telephone_number": "701-751-4122",
            "fax_number": "701-751-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHANTALLE",
        "name_prefix": "Ms.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "933-1-1-18-395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ell
• Samantha Ell
• Kelli Katharina Ellenbaum, MS, CCC-SLP
• Nathan Glenn Ellingson
• Megan Elliott
• Wesley Ellison
• Mohanad A Elshiekh
• Brenda Jo Elwood
• Ember Counseling, PLLC
• Embrace Wellness PLLC

• Professional Counselor in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.