Individual provider Active NPI

Brian Patrick Ellis, LIMHP, PLADC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1578244174
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4265 Issued in NE
Practice address
3833 S 14TH St
Lincoln, NE 68502-5340
Phone
(402) 440-9638
NPI assigned
Jul 26, 2023
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1682 NE
Mental Health Counselor 101YM0800X 4265 NE Primary

Addresses

Primary practice location

3833 S 14TH St
Lincoln, NE 68502-5340

Mailing address

1867 SW 31St St
Lincoln, NE 68522-9402
Phone (402) 440-9638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20251018000583 NE Practitioner - Mental Health Counselor 2365930708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3833 S 14TH St
Lincoln, NE 68502-5340

516 E 6TH St
Valparaiso, NE 68065-0326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4265NEMDMental Health Counselor
1682NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Behavior Health LLC Mental Health CurrentSince Sep 22, 2025 Accepting new patients
Garden View Mental Health LLC Addiction (Substance Use Disorder) CurrentSince Nov 18, 2025 Accepting new patients

Locations

3833 S 14th St
Lincoln, NE 68502
Phone (402) 937-8323

610 J St
Ste 110
Lincoln, NE 68508
Phone (402) 560-0971

Organizations & group practices 2

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": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1578244174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 SW 31ST ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685229402",
            "telephone_number": "402-440-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 S 14TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025340",
            "telephone_number": "402-440-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LIMHP, PLADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1682",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "4265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.