Jo M Ellison, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

494 Issued in ND

Practice address

530 Oak Ridge Way E Ste 6
West Fargo, ND 58078-8417

Phone

(701) 347-1318

Fax

(701) 707-3917

NPI assigned

Mar 27, 2013

Last updated

Jan 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellison Mental Health Services PLLC

  • Psychologist
  • West Fargo, ND
  • NPI 1821878919
  Medicare reassignment NPD Authorized official
• Solutions Behavioral Healthcare Professionals, PC

  dba Solutions Behavioral Healthcare Professionals

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moorhead, MN
  • NPI 1801909239

  ND

  Medicare reassignment

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1841532942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 OAK RIDGE WAY E STE 6",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788417",
            "telephone_number": "701-347-1318",
            "fax_number": "701-707-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 OAK RIDGE WAY E STE 6",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788417",
            "telephone_number": "701-347-1318",
            "fax_number": "701-707-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "JO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5980",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ND",
            "license": "494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Earnest
• Mikenzie Eckroth, LCSW
• Jill L Ehrmantraut, PT, DPT
• Quinn Eisch
• Ellison Mental Health Services PLLC
• Elmwood Family Dentistry
• Kingsley I Emenike, BSN
• Elizabeth Engebretson
• Kaila Marie Engel, DPT, PT
• Fiana England

• Psychologist in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.