Chasidy Jo Ellsworth, MS, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

315 Morgantown St Ste 7000
Uniontown, PA 15401-4878

Phone

(245) 576-5987

Fax

(724) 550-4160

NPI assigned

Jan 10, 2022

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

Other names 1

• Miss Chasidy Jo Preston Former name

Medicare fee-for-service enrollment

Enrolled in PA

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Momentum Couples and Family Therapy, LLCGroup PAC ID 9739528795, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Momentum Couples & Family Therapy, LLC

  • Community/Behavioral Health Agency
  • Uniontown, PA
  • NPI 1033452180
  Medicare reassignment Care Compare group NPD
• Neurodivergent Minds, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Connellsville, PA
  • NPI 1326972118
  NPD Authorized official

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1508527706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MORGANTOWN ST STE 7000",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014878",
            "telephone_number": "724-557-6598",
            "fax_number": "724-550-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MORGANTOWN ST STE 7000",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154014878",
            "telephone_number": "245-576-5987",
            "fax_number": "724-550-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "CHASIDY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHASIDY",
            "last_name": "PRESTON",
            "middle_name": "JO",
            "prefix": "MISS",
            "credential": "MS, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.