Active NPI
Catherine C. Ellyson, LCPC
- Mental Health Counselor
- Portland, ME
National Provider Identifier
1568406239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-0000646
- Practice address
- 95 Exchange St
Suite 100
Portland, ME 04101-5037 - Phone
- (207) 871-1000
- Fax
- (207) 773-0472
- NPI assigned
- Jun 15, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068-0000646 | VT | Primary |
| Professional Counselor | 101YP2500X | CC3038 | ME |
Addresses
Primary practice location
95 Exchange St
Suite 100
Portland, ME 04101-5037
Mailing address
45 A St
2W
S Portland, ME 04106-2872
Phone (207) 899-9844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100196 | Other | ME | ANTHEM |
Other names 1
- Kitty Ellyson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000646 | VT | MD | Mental Health Counselor |
| CC3038 | ME | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Family Institute | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Portland, ME
- NPI 1942470349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1568406239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 A ST",
"address_2": "2W",
"city": "S PORTLAND",
"state": "ME",
"postal_code": "041062872",
"telephone_number": "207-899-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 EXCHANGE ST",
"address_2": "SUITE 100",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041015037",
"telephone_number": "207-871-1000",
"fax_number": "207-773-0472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLYSON",
"first_name": "CATHERINE",
"middle_name": "C.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068-0000646",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC3038",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "100196",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KITTY",
"last_name": "ELLYSON",
"credential": "LCPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.