Active NPI
Ellen Elaine Elliott, NCC, LCAS, LPC
- Counselor
- Lexington, NC
National Provider Identifier
1902820293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 80318
- Practice address
- 9 West Third Street
Lexington, NC 27292-3458 - Phone
- (336) 224-0863
- Fax
- (336) 238-1013
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4831 | NC | |
| Counselor | 101Y00000X | 80318 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 881 | NC |
Addresses
Primary practice location
9 West Third Street
Lexington, NC 27292-3458
Mailing address
9 West Thrid Street
Lexington, NC 27292-3458
Phone (336) 224-0863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80318 | NC | MD | Counselor |
| 881 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 4831 | NC | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902820293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 WEST THRID STREET",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272923458",
"telephone_number": "336-224-0863",
"fax_number": "336-238-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 WEST THIRD STREET",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272923458",
"telephone_number": "336-224-0863",
"fax_number": "336-238-1013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "ELLEN",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "NCC, LCAS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "4831",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "80318",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "881",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.