Individual provider Active NPI

Elizabeth McCollister, CT

  • Counselor
  • Westerville, OH
National Provider Identifier
1568176642
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.2204448-TRNE Issued in OH
Practice address
171 Charring Cross Dr S
Westerville, OH 43081-2862
Phone
(614) 890-8262
NPI assigned
Jan 12, 2023
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2204448-TRNE OH Primary

Addresses

Primary practice location

171 Charring Cross Dr S
Westerville, OH 43081-2862

Mailing address

4040 Saville CT
Columbus, OH 43224-1773
Phone (513) 252-3763

Other practice location 1

100 Dorchester Sq N Ste 102
Westerville, OH 43081-7305
Phone (890) 826-2614 ext. 721

Other names 1

  • Ellie McCollister Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C.2204448-TRNEOHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brett Fitzer LLC CurrentSince Aug 25, 2025 Accepting new patients
Sydnie Johnson Counseling Services LLC PastSince Oct 20, 2019 Accepting new patients
Fords LLC Counselor PastSince Oct 24, 2021 Accepting new patients

Locations

171 Charring Cross Dr S
Westerville, OH 43081
Phone (614) 890-8262

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, 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": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1568176642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 SAVILLE CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432241773",
            "telephone_number": "513-252-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CHARRING CROSS DR S",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812862",
            "telephone_number": "614-890-8262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Dorchester Sq N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430817305",
            "country_code": "US",
            "telephone_number": "890-826-2614 x721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOLLISTER",
        "first_name": "ELIZABETH",
        "credential": "CT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2204448-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "MCCOLLISTER",
            "credential": "CT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.