Justin Ellis, LPC, MS, MA, NCC in Bethlehem, PA

Justin Ellis, LPC, MS, MA, NCC is a medicare enrolled "Counselor - Professional" provider in Bethlehem, Pennsylvania. His current practice location is 2223 Linden St Ste 101, Bethlehem, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 246-8486.

Justin Ellis is licensed to practice in Pennsylvania (license number PC013320) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013592054.

Contact Information

	Justin Ellis, LPC, MS, MA, NCC
	2223 Linden St Ste 101, Bethlehem, PA 18017-4806
	(484) 246-8486
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Justin Ellis
Gender	Male
Speciality	Counselor - Professional
Location	2223 Linden St Ste 101, Bethlehem, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013592054
Provider Enumeration Date: 03/11/2021
Last Update Date: 12/28/2023

Medicare PECOS Information:

PECOS PAC ID: 5799129623
Enrollment ID: I20240220001201

Medical Identifiers

Medical identifiers for Justin Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013592054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	PC013320 (Pennsylvania)	Secondary
101YP2500X	Counselor - Professional	PC013320 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Justin Ellis allows following entities to bill medicare on his behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120416000069

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Justin Ellis, LPC, MS, MA, NCC Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483	Justin Ellis, LPC, MS, MA, NCC 2223 Linden St Ste 101, Bethlehem, PA 18017-4806 Ph: (484) 246-8486

Reviews and Comments

Counselor in Bethlehem, PA

Ms. Marlene M. Bayer, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1631 Woodfield Dr, Bethlehem, PA 18015 Phone: 610-997-8750
Melhanie M Damiron, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 865 E 4th St, Bethlehem, PA 18015 Phone: 484-221-9136 Fax: 484-221-9130
Mrs. Carol A. Corso, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 W Broad St, Bethlehem, PA 18018 Phone: 610-965-8984
Dinnette Aracely Medina, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 826 Delaware Ave, Bethlehem, PA 18015 Phone: 610-419-3101
Can Can Li, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2005 City Line Rd Ste 300, Bethlehem, PA 18017 Phone: 610-865-8177
Curtis Gale Kemmerer, M. DIV., LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Greenwood Dr, Bethlehem, PA 18017 Phone: 610-691-5072
Dr. Jesus Montilla, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 E 4th St, Bethlehem, PA 18015 Phone: 347-527-8139

Justin Ellis, LPC, MS, MA, NCC - Medicare Counselor in Bethlehem, PA