Individual provider Active NPI

Patricia Marie Ellingham, LMHC

  • Mental Health Counselor
  • Pinellas Park, FL
National Provider Identifier
1710255245
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC-11163 Issued in FL
Practice address
9365 US Highway 19 N
St B
Pinellas Park, FL 33782-5400
Phone
(727) 421-0595
NPI assigned
Dec 12, 2011
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC-11163 FL Primary
Mental Health Counselor 101YM0800X 11163 FL

Addresses

Primary practice location

9365 US Highway 19 N
St B
Pinellas Park, FL 33782-5400

Mailing address

9365 US Highway 19 N Ste B
Pinellas Park, FL 33782-5400
Phone (727) 421-0595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250305000341 FL Practitioner - Mental Health Counselor 1557882792 Practice locations: Pinellas Park, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11163FLMDMental Health Counselor
LMHC-11163FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ibis Healthcare Inc Current Accepting new patients

Locations

5707 N 22nd St
Tampa, FL 33610
Phone (813) 272-2244

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": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1710255245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9365 US HIGHWAY 19 N STE B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825400",
            "telephone_number": "727-421-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9365 US HIGHWAY 19 N",
            "address_2": "ST B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825400",
            "telephone_number": "727-421-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGHAM",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC-11163",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.