Individual provider Active NPI

Daniel R Ellenberg, MA, NCC, LPCA

  • Professional Counselor
  • Somerset, KY
National Provider Identifier
1801573001
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
285543 Issued in KY
Practice address
3085 S Highway 27 Ste 1
Somerset, KY 42501-3013
Phone
(859) 414-6111
NPI assigned
Jun 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 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 285543 KY Primary

Addresses

Primary practice location

3085 S Highway 27 Ste 1
Somerset, KY 42501-3013

Mailing address

378 Meadowcrest Dr
Somerset, KY 42503-6245
Phone (606) 383-1189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20251119004680 KY Practitioner - Mental Health Counselor 0446742282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1169 Eastern Pkwy
Suite 3328
Louisville, KY 40217-1422

378 Meadowcrest Dr
Somerset, KY 42503-6245

889 Spout Springs Rd
Irvine, KY 40336-7433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
285543KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Counseling Center, LLC Professional CurrentSince Jan 26, 2026 Accepting new patients
Living Rivers Mental Health LLC Professional CurrentSince Oct 7, 2025 Accepting new patients
Life Springs PLLC PastSince Jul 2, 2023 Accepting new patients
Shattered 2 Restored Past Accepting new patients

Locations

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

3085 S Highway 27
Ste 1
Somerset, KY 42501
Phone (859) 414-6111

Organizations & group practices 4

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1801573001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 MEADOWCREST DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425036245",
            "telephone_number": "606-383-1189",
            "fax_number": "866-359-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 S HIGHWAY 27 STE 1",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013013",
            "telephone_number": "859-414-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENBERG",
        "first_name": "DANIEL",
        "middle_name": "R",
        "credential": "MA, NCC, LPCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "285543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.