Organization Active NPI

Ellie PBC2 LLC

Doing business as Ellie Mental Health - Palm Beach Gardens

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1700644408
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELLIE PBC2 LLC
Doing business as
Ellie Mental Health - Palm Beach Gardens
Practice address
8895 N Military TRL Ste 202B
West Palm Beach, FL 33410-6284
Phone
(917) 855-2799
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Mr. Haaris Ali
Title
Owner
Phone
(630) 205-4664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8895 N Military TRL Ste 202B
West Palm Beach, FL 33410-6284

Mailing address

8895 N Military TRL Ste 202B
West Palm Beach, FL 33410-6284
Phone (561) 556-4544

Other names 1

  • Ellie Mental Health - Palm Beach Gardens Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240830001423 FL Part B Supplier - Clinic/Group Practice 6002355302 Receives reassigned benefits from 10 practitioners
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

8895 N Military Trl
Ste 202B
West Palm Beach, FL 33410
Phone (561) 556-4544

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1700644408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL STE 202B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106284",
            "telephone_number": "561-556-4544",
            "fax_number": "561-828-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL STE 202B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106284",
            "telephone_number": "917-855-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE PBC2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "HAARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-205-4664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health - Palm Beach Gardens",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health - Palm Beach Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.