SUSAN ELLIS LPC NPI 1285247114

NPI Information

NPI: 1285247114
Provider Name: SUSAN ELLIS, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
W175N11163 STONEWOOD DR STE 106
GERMANTOWN, WI
ZIP 53022
Phone: (262) 345-4270
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Susan Ellis, LPC is a mental health counselor in Germantown, WI. Susan Ellis, LPC NPI is 1285247114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

W175N11163 STONEWOOD DR STE 106
GERMANTOWN, WI
ZIP 53022-501
Phone: (262) 345-4270

The enumeration date for this NPI number is 8/29/2020 and was last updated on 1/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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