Katherine Victoria Ellu, MS.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010892979 Issued in NJ

Practice address

170 Fairmount Ave
Newark, NJ 07103-2433

Phone

(973) 286-0100

Fax

(973) 286-0400

NPI assigned

Nov 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Unique Home Care & Companionship Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Newark, NJ
  • NPI 1588927750
  NPD Authorized official

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1851805071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WILLOW ST",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792516",
            "telephone_number": "732-465-2282",
            "fax_number": "973-286-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 FAIRMOUNT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032433",
            "telephone_number": "973-286-0100",
            "fax_number": "973-286-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLU",
        "first_name": "KATHERINE",
        "middle_name": "VICTORIA",
        "credential": "MS.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "010892979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010892979",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heba Elkassaby, BDS, DMD, MDSC
• Ellen Levan, MD, PC
• Angelah Ellis, DPM
• Jerrold J Ellner, M.D.
• Bridget Ann Ellsworth, RN
• Elm Street Hospital Physicians, P.a.
• Mena Fady Elmalh
• Moamena Elmatbouly
• Elmy'S Special Services Inc. II
• Elmy'S Special Services Inc. II

• Mental Health Counselor in Newark, NJ
• Providers in Newark, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.