Individual provider Active NPI

Rebecca Wright Ellis, LCMHCA

  • Mental Health Counselor
  • Murphy, NC
National Provider Identifier
1447908470
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A17590 Issued in NC
Practice address
489 Hill St
Murphy, NC 28906-3509
Phone
(910) 214-0514
NPI assigned
Mar 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A17590 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

489 Hill St
Murphy, NC 28906-3509

Mailing address

3427 Melrose Rd
Fayetteville, NC 28304-1608

Other names 1

  • Rebecca Wright Ellis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20260616003340 NC Practitioner - Mental Health Counselor 7911479449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Counseling and Psychological Services IncGroup PAC ID 4880996792, 27 clinicians

Practice addresses (Care Compare)

1 Oak PLZ
Suite 208
Asheville, NC 28801-3000
Phone (828) 575-9760

29 College Place
Asheville, NC 28801-2406
Phone (828) 575-9760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A17590NCMDMental Health Counselor

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": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1447908470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 MELROSE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 HILL ST",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289063509",
            "telephone_number": "910-214-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "REBECCA",
        "middle_name": "WRIGHT",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17590",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ELLIS",
            "middle_name": "WRIGHT",
            "credential": "LCMHCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.