Individual provider Active NPI

Ellen Elizabeth Flynn, LICSW

  • Mental Health Counselor
  • Taunton, MA
National Provider Identifier
1699803551
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
113535 Issued in MA
Practice address
1 Washington St
Taunton, MA 02780-3960
Phone
(508) 828-9116
NPI assigned
Mar 1, 2007
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 113535 MA Primary

Addresses

Primary practice location

1 Washington St
Taunton, MA 02780-3960

Mailing address

30 Church St Apt 4
North Attleboro, MA 02760-7604
Phone (508) 316-0633

Other practice location 1

680 Centre St
Brockton, MA 02302-3395
Phone (508) 941-7000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100426000177 MA Practitioner - Clinical Social Worker 9931236833 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Boston University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Counseling of Bristol County, Inc.Group PAC ID 0143127779, 52 clinicians

Practice addresses (Care Compare)

1 Washington St
Taunton, MA 02780-3960

1 Washington St
Taunton, MA 02780-5293
Phone (508) 977-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113535MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Hospital, Inc. CurrentSince Mar 7, 2025 Accepting new patients
Brockton Hospital, Inc. CurrentSince Mar 7, 2025 Accepting new patients
Signature Healthcare Medical Group Inc CurrentSince Dec 27, 2015 Accepting new patients
Community Counseling of Bristol County Inc CurrentSince May 19, 2017 Accepting new patients
Community Counseling of Bristol County, Inc. CurrentSince May 19, 2017 Accepting new patients
Brockton Hospital, Inc. Past Accepting new patients

Locations

178 Quincy Ave
Brockton, MA 02302
Phone (508) 584-8580

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

1 Washington St
Taunton, MA 02780
Phone (508) 828-9116

Interoperability endpoints

  • Direct secure messaging: ellen.flynn@direct.signature.masshiway.net

Organizations & group practices 6

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1699803551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CHURCH ST APT 4",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027607604",
            "telephone_number": "508-316-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803960",
            "telephone_number": "508-828-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023395",
            "country_code": "US",
            "telephone_number": "508-941-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ELLEN",
        "middle_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "113535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.