Michelle Dawn Ellerman, LMHCA, ATR-P

Primary specialty

Art TherapistTaxonomy code 221700000X

License

23-204 Issued in IN

Practice address

105 Broadway St
Vincennes, IN 47591-1251

Phone

(812) 790-2599

NPI assigned

Oct 3, 2023

Last updated

Mar 5, 2025By 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 3

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

• Children & Family Services, Corp.

  dba Grasshopper Group Health Services

  • Clinical Social Worker
  • Vincennes, IN
  • NPI 1912215286

  Mental Health

  NPD

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1962282319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BROADWAY ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911251",
            "telephone_number": "812-790-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BROADWAY ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911251",
            "telephone_number": "812-790-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERMAN",
        "first_name": "MICHELLE",
        "middle_name": "DAWN",
        "credential": "LMHCA, ATR-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88002155A",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "IN",
            "license": "1583231",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "IN",
            "license": "23-204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Eagleson, FNP
• Brett Lauren Eaton, APRN
• Megan Lynn Edwards, COTA/L
• Rebecca L. Elder, RN
• Ashton B Ellerman, PHARMD
• Macy Ellett
• John Gerald Ellison, D.D.S.
• Paige Alizabeth Emmons, RN
• Fares Eshac, MD
• Navid Etemadi, M.D.

• Art Therapist in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Art Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.