Individual provider Active NPI

Ellyn Leibowitz, LPC, ACS, CCS

  • Professional Counselor
  • Bayonne, NJ
National Provider Identifier
1720867401
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00654300 Issued in NJ
Practice address
301 Constitution Ave
Bayonne, NJ 07002-5091
Phone
(862) 576-1120
NPI assigned
Sep 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00654300 NJ Primary

Addresses

Primary practice location

301 Constitution Ave
Bayonne, NJ 07002-5091

Mailing address

301 Constitution Ave
Bayonne, NJ 07002-5091
Phone (862) 576-1120

Other names 1

  • Ellen Leibowitz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20251016003534 NJ Practitioner - Mental Health Counselor 3173010683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

301 Constitution Ave
Bayonne, NJ 07002-5091

400 38TH St
Suite 305
Union City, NJ 07087-4875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00654300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gannon Counseling Services LLC CurrentSince Jul 29, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1720867401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CONSTITUTION AVE",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025091",
            "telephone_number": "862-576-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CONSTITUTION AVE",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025091",
            "telephone_number": "862-576-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOWITZ",
        "first_name": "ELLYN",
        "name_prefix": "Ms.",
        "credential": "LPC, ACS, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00654300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "LEIBOWITZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.