Nicole Renee Ellis, LPCC-S, NCC
NPI 1164580106ActiveIndividual· Counselor, Professional· Elizabethtown, KY
Counselor, Professional (LPCC-S, NCC) with Baptist Health Medical Group Inc, practicing in Elizabethtown, Kentucky. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1164580106 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC-S, NCC |
| Sole proprietor | Yes |
| NPI issued | Dec 4, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Dec 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 103828 | KY |
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) | Enrolled Practitioner - Mental Health Counselor (KY) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Baptist Health Medical Group IncMadison, IN · 2,472 clinicians
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