Individual provider Active NPI

Teion Ensley-Ellerbe

  • Counselor
  • Columbia, MD
National Provider Identifier
1386223220
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC020693 Issued in PA
Practice address
7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444
Phone
(000) 000-0000
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Counselor 101Y00000X PC020693 PA Primary

Addresses

Primary practice location

7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444

Mailing address

7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444

Other practice location 1

3495 Butler St Ste 3
Pittsburgh, PA 15201-1375
Phone (412) 857-3717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APC000321PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Samkirk LLC Past Accepting new patients

Organizations & group practices 1

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1386223220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7090 SAMUEL MORSE DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 SAMUEL MORSE DR STE 100",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463444",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 BUTLER ST STE 3",
            "address_purpose": "LOCATION",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152011375",
            "country_code": "US",
            "telephone_number": "412-857-3717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENSLEY-ELLERBE",
        "first_name": "TEION",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC020693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.