| Ellie Mental Health | |
|
5151 Mochel Dr Ste 304 Downers Grove IL 60515-5078 | |
| (630) 791-0555 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 5151 Mochel Dr Ste 304, Downers Grove, Illinois |
| Authorized Official Name and Position | Emily E Weber (OWNER) |
| Authorized Official Contact | 6304043348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 501 Preston Dr Apt 221 Bolingbrook IL 60440-2267 Ph: (630) 404-3348 | Ellie Mental Health 5151 Mochel Dr Ste 304 Downers Grove IL 60515-5078 Ph: (630) 791-0555 |
| NPI Number | 1164179529 |
|---|---|
| Provider Enumeration Date | 03/06/2022 |
| Last Update Date | 02/17/2023 |
| Certification Date | 03/06/2022 |
| Medicare PECOS PAC ID | 0941687487 |
|---|---|
| Medicare Enrollment ID | O20220523000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164179529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Emily E Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962923102 PECOS PAC ID: 0244589737 Enrollment ID: I20180816000785 |
| Provider Name | Nia Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386172435 PECOS PAC ID: 9830560820 Enrollment ID: I20230131000888 |
| Provider Name | Theresa Hefner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528706090 PECOS PAC ID: 8921470535 Enrollment ID: I20230208001083 |
| Provider Name | Zachary Michael Loveland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518431683 PECOS PAC ID: 1658731476 Enrollment ID: I20230712001186 |
| Provider Name | Paige Joanne Schuchmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003340241 PECOS PAC ID: 1355792516 Enrollment ID: I20240111004149 |
| Provider Name | Donna M Hir |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255840526 PECOS PAC ID: 6608227723 Enrollment ID: I20240112001476 |
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