Taryn Ellison, LCPC
NPI 1942995675ActiveIndividual· Counselor, Professional· Springfield, IL
Counselor, Professional (LCPC) with Board of Trustees of Southern Illinois University, practicing in Springfield, Illinois. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1942995675 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC |
| Sole proprietor | No |
| NPI issued | Apr 10, 2023 |
| Last updated in NPPES | Apr 23, 2025 |
| Certified by provider | Apr 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 180.015030 | IL |
| Counselor, Mental Health | 101YM0800X | 180015030 | IL |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 180.015030 | IL |
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 (IL) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Board of Trustees of Southern Illinois UniversityQuincy, IL · 137 clinicians
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