Ellie Mental Health Live Authentic PLLC
NPI 1760193031ActiveOrganization· Psychologist, Counseling· Novi, MI
Psychologist, Counseling in Novi, Michigan, registered in NPPES in December 2022. The authorized official on file is Jeff McDonald, Operations Manger. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760193031 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 7, 2022 |
| Last updated in NPPES | Jul 11, 2025 |
| Certified by provider | Jul 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | — | — |
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 Part B Supplier - Clinic/Group Practice (MI) |
|---|
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