Kathleen Ellis, PHD, LADC, LPC
NPI 1679902316 · Addiction (Substance Use Disorder) Counselor · New London, CT
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kathleen Ellis, PHD, LADC, LPC is a Addiction (Substance Use Disorder) Counselor provider in New London, CT (NPI 1679902316).
Provider details
- NPI number
- 1679902316
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- PHD, LADC, LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 000903 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-11-04
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Frequently asked questions
- What is Kathleen Ellis's NPI number?
- Kathleen Ellis's National Provider Identifier (NPI) is 1679902316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathleen Ellis's specialty?
- Kathleen Ellis is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Kathleen Ellis located?
- Kathleen Ellis's practice location on file with NPPES is 365 Montauk Ave, New London, CT 06320-4700.
- What is Kathleen Ellis's phone number?
- The practice phone number listed in the NPPES registry for Kathleen Ellis is (860) 271-4271.
- Does Kathleen Ellis accept Medicare?
- Kathleen Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kathleen Ellis's NPI active?
- Yes — Kathleen Ellis's NPI (1679902316) is active in the NPPES registry as of the last update on 2025-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.