Individual provider Active NPI

Ellen Nordskog McDow, MA, LPC

  • Counselor
  • Gilbert, AZ
National Provider Identifier
1497900567
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-13405 Issued in AZ
Practice address
2563 S Val Vista Dr Ste 108
Gilbert, AZ 85295-6231
Phone
(480) 448-1076
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-13405 AZ Primary

Addresses

Primary practice location

2563 S Val Vista Dr Ste 108
Gilbert, AZ 85295-6231

Mailing address

2563 S Val Vista Dr Ste 108
Gilbert, AZ 85295-6231
Phone (480) 448-1076

Other practice location 1

7565 E Eagle Crest Dr Ste 201
Mesa, AZ 85207-1067
Phone (480) 788-5069

Other names 1

  • Ellen Nordskog Munn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-13405AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Vista Counseling Services PastSince Aug 4, 2024 Accepting new patients
Infinite Counseling PastSince Nov 8, 2025 Accepting new patients
Infinite Healing and Wellness Counselor Past Accepting new patients

Organizations & group practices 3

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": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1497900567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 S VAL VISTA DR STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956231",
            "telephone_number": "480-448-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 S VAL VISTA DR STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956231",
            "telephone_number": "480-448-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7565 E Eagle Crest Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852071067",
            "country_code": "US",
            "telephone_number": "480-788-5069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDOW",
        "first_name": "ELLEN",
        "middle_name": "NORDSKOG",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-13405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "MUNN",
            "middle_name": "NORDSKOG",
            "credential": "MA, LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.