Individual provider Active NPI

Ellen Callie McGovern, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1770258162
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012324 Issued in NY
Practice address
718 Washington Ave Apt 2F
Brooklyn, NY 11238-4045
Phone
(240) 997-9380
NPI assigned
Aug 9, 2021
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 012324 NY Primary

Addresses

Primary practice location

718 Washington Ave Apt 2F
Brooklyn, NY 11238-4045

Mailing address

718 Washington Ave Apt 2F
Brooklyn, NY 11238-4045
Phone (240) 997-9380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260303000089 NY Practitioner - Mental Health Counselor 7416439252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
New York University School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3061 Fillmore St
San Francisco, CA 94123-4009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012324NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Scott C. Fears, M.D., P.C. CurrentSince Jan 24, 2026 Accepting new patients
Alyssa Mairanz Mental Health Counseling PLLC Mental Health PastSince Aug 1, 2021 Accepting new patients

Locations

207 E 94th St
Ste 300
New York, NY 10128
Phone (646) 290-6467

207 E 94th St
Ste 300303
New York, NY 10128
Phone (646) 290-6467

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1770258162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 WASHINGTON AVE APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384045",
            "telephone_number": "240-997-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 WASHINGTON AVE APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384045",
            "telephone_number": "240-997-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "ELLEN",
        "middle_name": "CALLIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.