Lauren E Ellison, LPC
Individual provider Active NPI Professional Counselor · Waterville, OH
NPI 1740844786 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1740844786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E.2505009 (OH)
- Practice address
- 8245 Farnsworth Rd Ste B
Waterville, OH 43566-9478 - Phone
- (419) 740-0545
- NPI assigned
- Apr 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250515000841 | OH | Practitioner - Mental Health Counselor | 3577081439 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2103118 | OH | MD | Mental Health Counselor |
| E.2505009 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Haven Holistic Services, Inc. | Mental Health | Current |
Accepting new patients |
| Zepf Center | Single Specialty | Current |
Accepting new patients |
| Zepf Center | Current |
Accepting new patients | |
| Promedica Children'S Specialists | Single Specialty | Past |
Accepting new patients |
Locations
6605 W Central Ave
Ste 100
Toledo, OH 43617
Phone 41984177012235
2005 Ashland Ave
Toledo, OH 43620
Phone (419) 255-3040
905 Nebraska Ave
Toledo, OH 43607
Phone (419) 244-8848
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | C.2103118 | OH | |
| Professional Counselor | 101YP2500X | E.2505009 | OH | Yes |
Addresses
Primary practice location
8245 Farnsworth Rd Ste B
Waterville, OH 43566-9478
Mailing address
4351 Gilhouse Rd
Toledo, OH 43623-2037
Phone (419) 262-1739
Other practice location 1
905 Nebraska Ave
Toledo, OH 43607-4222
Phone (419) 841-7701
Other providers in Waterville, OH
- Maisy Dewitt
- Alexi Dewitte
- Jeanie Duby
- Ryan J Dunigan
- Effective Speech Solutions, LLC
- Rachell Rae Estok
- Fallen Timbers Holistic Services
- Bailey Jane Finch
- Firefly Therapy LLC
- Jacob Luke Forget
All providers in Waterville, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.