Guan Q Ellerbe, MS, LSW, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

11286 Issued in MA

Practice address

19 Riverside Ave
Brockton, MA 02301-6898

Phone

(508) 690-6069

Fax

(781) 784-0996

NPI assigned

Nov 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Leading Light Behavioral Health, Inc

  • Professional Counselor
  • Brockton, MA
  • NPI 1225688708
  Medicare reassignment Authorized official
• Leading Light Mental Health Clinic, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1730862491
  NPD Authorized official

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1578993028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WESTGATE DR STE 1006",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011855",
            "telephone_number": "508-690-6069",
            "fax_number": "857-219-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 RIVERSIDE AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023016898",
            "telephone_number": "508-690-6069",
            "fax_number": "781-784-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERBE",
        "first_name": "GUAN",
        "middle_name": "Q",
        "credential": "MS, LSW, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "314805",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "11286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseline Eliezer
• Elite Dental Group PC
• Mariebelle Elkhoury, PHARMD
• Ellen S. Weinstein, Licsw, LLC
• Dale J Ellenberg, M.D.
• Tamara Nicole Ellerbe
• Christine Mary Ells
• Abdel Rahman Elsayed
• Jeremiah J Elsinger, LCSW
• Muayna Yasir Elsir, CNM

• Counselor in Brockton, MA
• Providers in Brockton, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.