Organization Active NPI

Ellis Psychotherapy, LLC

  • Mental Health Counselor
  • Beloit, WI
National Provider Identifier
1982527800
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELLIS PSYCHOTHERAPY, LLC
Practice address
611 E Grand Ave Ste 1D
Beloit, WI 53511-6399
Phone
(608) 751-0565
NPI assigned
Jul 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Dana M Ellis, LPC
Title
Owner/ Therapist
Phone
(608) 751-0565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

611 E Grand Ave Ste 1D
Beloit, WI 53511-6399

Mailing address

611 E Grand Ave Ste 1D
Beloit, WI 53511-6399
Phone (608) 751-0565

National Provider Directory

National Provider Directory

Locations

611 E Grand Ave
Ste 1D
Beloit, WI 53511

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1982527800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E GRAND AVE STE 1D",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116399",
            "telephone_number": "608-751-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E GRAND AVE STE 1D",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116399",
            "telephone_number": "608-751-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "608-751-0565",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.