IndividualActive
Kelly Ellison, LMHC
NPI 1104115617 · Mental Health Counselor · Beverly, MA
Kelly Ellison, LMHC is a Mental Health Counselor provider in Beverly, MA (NPI 1104115617).
Provider details
- NPI number
- 1104115617
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7605 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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.
Practice location
800 Cummings Ctr
Beverly, MA 01915-6175
Phone: (978) 921-1190
Approximate (ZIP-level) locationGet directions
Mailing address
46 Moynihan Rd
South Hamilton, MA 01982-1611
Registry dates
- Enumerated
- 2011-04-05
- Last updated
- 2012-09-04
Frequently asked questions
- What is Kelly Ellison's NPI number?
- Kelly Ellison's National Provider Identifier (NPI) is 1104115617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Ellison's specialty?
- Kelly Ellison is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Kelly Ellison located?
- Kelly Ellison's practice location on file with NPPES is 800 Cummings Ctr, Beverly, MA 01915-6175.
- What is Kelly Ellison's phone number?
- The practice phone number listed in the NPPES registry for Kelly Ellison is (978) 921-1190.
- Is Kelly Ellison's NPI active?
- Yes — Kelly Ellison's NPI (1104115617) is active in the NPPES registry as of the last update on 2012-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.