Margaret Gibson Ellison, EDS, LPC, MAC, CAS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3490 Issued in GA

Practice address

1791 Walker Rd SW
Conyers, GA 30094-3126

Phone

(770) 760-8763

Fax

(770) 760-8765

NPI assigned

Oct 5, 2007

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 GA

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  GA, Professional

  Medicare reassignment Care Compare group NPD
• Margaret Gibson Ellison, LPC LLC

  • Professional Counselor
  • Conyers, GA
  • NPI 1548128028
  NPD Authorized official
• The Epiphany Center

  • Community/Behavioral Health Agency
  • Conyers, GA
  • NPI 1174667901
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1376731166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BEECHVIEW DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162624",
            "telephone_number": "404-583-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 WALKER RD SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943126",
            "telephone_number": "770-760-8763",
            "fax_number": "770-760-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "MARGARET",
        "middle_name": "GIBSON",
        "name_prefix": "Mrs.",
        "credential": "EDS, LPC, MAC, CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "3490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Paige Montgomery, LLC
• Caroline Ellis
• Selina Y Ellis
• Sherenda Lashawn Ellis
• Howard Steven Ellison, MD
• Avery Louise Elloway, PA-C
• Michelle Emerson
• Roselande Emmanuel, NP
• Lkeshia Cherie Endsley, FNP-C
• Enhanced Medical Transport

• Professional Counselor in Conyers, GA
• Providers in Conyers, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.