Ellen Elizabeth Willertz, LGPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP13887 Issued in MD

Practice address

900A S Main St Ste 105
Bel Air, MD 21014-5473

Phone

(410) 914-4012

NPI assigned

Oct 11, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Whitesell and Associates, Inc

  • Professional Counselor
  • Bel Air, MD
  • NPI 1407194905

  Mental Health

  NPD
• Renewal Counseling Center, Inc

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1417086737
  NPD (past)
• The Eagles Nest Family and Children Services LLC

  • Professional Counselor
  • Bel Air, MD
  • NPI 1629364666
  NPD (past)

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1881475358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900A S MAIN ST STE 105",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145473",
            "telephone_number": "410-914-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900A S MAIN ST STE 105",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145473",
            "telephone_number": "410-914-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLERTZ",
        "first_name": "ELLEN",
        "middle_name": "ELIZABETH",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP13887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Wiener, MSN, APRN, FNP-C
• Hillary Catherine Wilcox, FNP
• Mark J Wild, M.D.
• Julia Wilhoit
• Tania Wilkins, PT
• D'Ann Elizabeth Willey
• Lisa Williams-Knox, M. ED
• Erin Williams, LCSW-C
• James Allen Williams, PT
• Janet Lynn Williams, LCSW-C

• Professional Counselor in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.