Mary Linda Ellis, L.P.C.
NPI 1003964131ActiveIndividual· Counselor, Professional· Buford, GA
Opted out of Medicare from January 2024 to January 2028. Counselor, Professional (L.P.C.) in Buford, Georgia, licensed in GA, with an NPI issued in January 2007.
Overview
| NPI | 1003964131 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.P.C. |
| Sole proprietor | Yes |
| NPI issued | Jan 8, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 003585 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jan 1, 2024 – Jan 1, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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