Mickensy Leigh Ellis-White, MS, LCPC, NCC, MAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009488 Issued in IL

Practice address

1300 E Main St
Danville, IL 61832-5051

Phone

(765) 893-1790

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 22, 2024 through Feb 22, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Mpower Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danville, IL
  • NPI 1417434861
  NPD (past) Authorized official
• Mpower Counseling, PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Danville, IL
  • NPI 1609766849
  NPD (past) Authorized official
• Mpower Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Danville, IL
  • NPI 1902675408
  NPD (past) Authorized official

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1891287066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325051",
            "telephone_number": "765-893-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E MAIN ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325051",
            "telephone_number": "765-893-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS-WHITE",
        "first_name": "MICKENSY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MS, LCPC, NCC, MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elder
• Elghammer Family Center
• Richard W Elghammer, PH.D.
• Craig Baity Elliott, M.D.
• Stephanie Marie Elliott, D.C.
• Jordan Michael Ellis, DMD
• Empowered Communication LLC
• Brittney Enos
• Equip Christian Counseling, PLLC
• Stephanie Ericksen, PHD

• Professional Counselor in Danville, IL
• Providers in Danville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.