Individual provider Active NPI

Rebecca Lee Elliston, LCSW, LCADC

  • Clinical Social Worker
  • Covington, KY
National Provider Identifier
1447727185
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127570 Issued in CA
Practice address
525 W 5TH St Ste 219
Covington, KY 41011-1293
Phone
(859) 292-4144
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 253581 KY
Addiction (Substance Use Disorder) Counselor 101YA0400X 243469 KY
Clinical Social Worker 1041C0700X 127570 CA Primary

Addresses

Primary practice location

525 W 5TH St Ste 219
Covington, KY 41011-1293

Mailing address

525 W 5TH St Ste 219
Covington, KY 41011-1293
Phone (859) 292-4144

Other identifiers 1

IdentifierTypeStateIssuer
7100567210MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210823002640 KY Practitioner - Clinical Social Worker 2668877028 Reassigns benefits to 2 organizations
I20230717002922 OH Practitioner - Clinical Social Worker 2668877028 Reassigns benefits to 1 organization
I20230802003439 CO Practitioner - Clinical Social Worker 2668877028 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
243469KYMDAddiction (Substance Use Disorder) Counselor
127570CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully, LLC Addiction (Substance Use Disorder) Current Accepting new patients
Mindfully, LLC Addiction (Substance Use Disorder) CurrentSince Jun 30, 2023 Accepting new patients
Mindfully, LLC Addiction (Substance Use Disorder) CurrentSince Jun 30, 2023 Accepting new patients
Mindfully, LLC Addiction (Substance Use Disorder) CurrentSince Jun 30, 2023 Accepting new patients
Mindfully, LLC Addiction (Substance Use Disorder) CurrentSince Sep 27, 2024 Accepting new patients
Counseling and Diagnostic Center, LLC Clinical CurrentSince Jun 30, 2021 Accepting new patients

Locations

4380 S Syracuse St
Ste 320
Denver, CO 80237
Phone (303) 578-6336

825 Delaware Ave
Ste 206
Longmont, CO 80501
Phone (720) 526-8102

539 Centre View Blvd
Crestview Hills, KY 41017
Phone (513) 407-6946

7426 US Highway 42
Ste 106
Florence, KY 41042
Phone (859) 282-0118

2333 Alexandria Dr
Lexington, KY 40504
Phone (833) 343-9329

9850 Von Allmen Ct
Ste 201
Louisville, KY 40241
Phone (480) 269-9248

1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1447727185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W 5TH ST STE 219",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111293",
            "telephone_number": "859-292-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 5TH ST STE 219",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111293",
            "telephone_number": "859-292-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISTON",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253581",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "243469",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "127570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100567210",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.