What is Kermit Ellison's NPI number?

Kermit Ellison's National Provider Identifier (NPI) is 1013354463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kermit Ellison's specialty?

Kermit Ellison is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Kermit Ellison located?

Kermit Ellison's practice location on file with NPPES is 1240 Bamburg Ct, Hanover Park, IL 60133-5243.

What is Kermit Ellison's phone number?

The practice phone number listed in the NPPES registry for Kermit Ellison is (630) 372-6599.

Is Kermit Ellison's NPI active?

Yes — Kermit Ellison's NPI (1013354463) is active in the NPPES registry as of the last update on 2013-05-24.

IndividualActive

Kermit Ellison

NPI 1013354463 · Mental Health Counselor · Hanover Park, IL

Kermit Ellison is a Mental Health Counselor provider in Hanover Park, IL (NPI 1013354463).

Provider details

NPI number: 1013354463
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes
License: 180006226 (IL)

Practice location

1240 Bamburg Ct

Hanover Park, IL 60133-5243

Phone: (630) 372-6599

Fax: (630) 372-6697

Street-level locationGet directions

More IL providers

Mailing address

1240 Bamburg Ct

Hanover Park, IL 60133-5243

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense 180006226 (IL)
Behavioral Health & Social Service Providers
School Counselor101YS0200XLicense 2482622 (IL)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(78/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2013-05-24
Last updated: 2013-05-24

Frequently asked questions

What is Kermit Ellison's NPI number?: Kermit Ellison's National Provider Identifier (NPI) is 1013354463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Kermit Ellison's specialty?: Kermit Ellison is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
Where is Kermit Ellison located?: Kermit Ellison's practice location on file with NPPES is 1240 Bamburg Ct, Hanover Park, IL 60133-5243.
What is Kermit Ellison's phone number?: The practice phone number listed in the NPPES registry for Kermit Ellison is (630) 372-6599.
Is Kermit Ellison's NPI active?: Yes — Kermit Ellison's NPI (1013354463) is active in the NPPES registry as of the last update on 2013-05-24.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions