Ellie Mental Health - Medicare Mental Health Clinic in Tempe, AZ

Ellie Mental Health is a medicare enrolled mental health clinic (Marriage & Family Therapist) in Tempe, Arizona. The current practice location for Ellie Mental Health is 3920 S Rural Rd Ste 112, Tempe, Arizona. For appointments, you can reach them via phone at (602) 502-3806. The mailing address for Ellie Mental Health is 10538 E Meseto Ave, Mesa, Arizona and phone number is (602) 502-3806.

Ellie Mental Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639880917. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (602) 502-3806.

Contact Information

Ellie Mental Health
3920 S Rural Rd Ste 112
Tempe
AZ 85282-5500
(602) 502-3806
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameEllie Mental Health
SpecialityMarriage & Family Therapist
Location3920 S Rural Rd Ste 112, Tempe, Arizona
Authorized Official Name and PositionAllyson Fernstrom (OWNER)
Authorized Official Contact6025023806
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ellie Mental Health
10538 E Meseto Ave
Mesa
AZ 85209-7822

Ph: (602) 502-3806
Ellie Mental Health
3920 S Rural Rd Ste 112
Tempe
AZ 85282-5500

Ph: (602) 502-3806

NPI Details:

NPI Number1639880917
Provider Enumeration Date12/08/2022
Last Update Date12/22/2023
Certification Date12/22/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8224480090
Medicare Enrollment IDO20240117001778

Medical Identifiers

Medical identifiers for Ellie Mental Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639880917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ellie Mental Health acts as a billing entity for following providers:
Provider NameLinda Rebecca Weiss
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1801288576
PECOS PAC ID: 9335590843
Enrollment ID: I20240109004186
Provider NameJames Alan Weisbecker
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1114612884
PECOS PAC ID: 7911359799
Enrollment ID: I20240117001912
Provider NameDeborah C Kovaleski
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1043098460
PECOS PAC ID: 5092167874
Enrollment ID: I20240117001994
Provider NamePaul K Gibson
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1427416387
PECOS PAC ID: 8123470994
Enrollment ID: I20240117002097
Provider NameJeffrey Ray Fulkerson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1417457623
PECOS PAC ID: 8820440621
Enrollment ID: I20240117002594
Provider NameLee Ann Weiler
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1922749357
PECOS PAC ID: 9234575101
Enrollment ID: I20240313004200

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.