Individual provider Active NPI

Christine Ellis, LPC LICDC

  • Professional Counselor
  • Hamilton, OH
National Provider Identifier
1992262653
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2103639 Issued in OH
Practice address
1141 Arbor Springs Dr
Hamilton, OH 45013-1865
Phone
(513) 919-6338
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X C.2002664-TRNE OH
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162252 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.168065 OH
Professional Counselor 101YP2500X C.2103639 OH Primary

Addresses

Primary practice location

1141 Arbor Springs Dr
Hamilton, OH 45013-1865

Mailing address

1141 Arbor Springs Dr
Hamilton, OH 45013-1865
Phone (513) 919-6338

Other practice location 1

615 Elsinore Pl
Cincinnati, OH 45202-1459
Phone (833) 510-4357

Other practice location 2

5108 Sandy Ln
Fairfield, OH 45014-2738
Phone (833) 510-4357

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

LicenseStateTypeSpecialty
CDCA.168065OHMDAddiction (Substance Use Disorder) Counselor
LICDC.162252OHMDAddiction (Substance Use Disorder) Counselor
C.2103639OHMDProfessional Counselor
C.2002664-TRNEOHMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Be You Counseling LLC CurrentSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1992262653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 ARBOR SPRINGS DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131865",
            "telephone_number": "513-919-6338",
            "fax_number": "513-919-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 ARBOR SPRINGS DR",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131865",
            "telephone_number": "513-919-6338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Elsinore Pl",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452021459",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5108 Sandy Ln",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450142738",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "fax_number": "866-459-6532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHRISTINE",
        "credential": "LPC LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "OH",
            "license": "C.2002664-TRNE",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162252",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.168065",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2103639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.