Lindsey Ellis, BA, CRADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

35632 Issued in IL

Practice address

303 Landmark Dr Ste 2B
Normal, IL 61761-6164

Phone

(309) 808-2388

NPI assigned

Feb 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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.

• Bloomington-Normal Treatment Center, LLC

  dba MedMark Treatment Centers Normal

  • Methadone Clinic
  • Normal, IL
  • NPI 1225389638
  NPD

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1720734072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 LANDMARK DR STE 2B",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 LANDMARK DR STE 2B",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616164",
            "telephone_number": "309-808-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LINDSEY",
        "credential": "BA, CRADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "35632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayrielle Ehlers
• Melvin Ehrhardt, M.D.
• Elliott Counseling Services, LLC
• Colleen Elliott-McCandless, APN
• Pamela Jo Elliott, LCPC NCC
• Julie Engelsdorfer, LPMT, MT-BC
• Jennifer Erlandson, APRN
• Amy Ersland
• Daniel Ervin, BCBA
• Jillian Estes

• Addiction (Substance Use Disorder) Counselor in Normal, IL
• Providers in Normal, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.