TIANA ELLISON – Professional Counselor, NPI 1871984476

TIANA ELLISON is a healthcare provider. based in Greybull, Wyoming. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. PPC-873 (WY). The NPI Number for TIANA ELLISON is 1871984476

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TIANA ELLISON
NPI
1871984476
Phone
(307) 568-2020
Address
116 S 3RD ST
Enumeration Date
18 February 2015
Last Update Date
21 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072722534
Graduation Year
2014 (12 years ago)
PAC ID
1951742956
Group Practice PAC ID
6800241993
Professional Enrollment ID
I20240508001567
Address ID
WY824144728CO1501XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

271 MENTAL HEALTH COUNSELOR in WY

Provider Addresses for TIANA ELLISON

  • 116 S 3RD ST

    PO BOX 351

    GREYBULL, WY 82426

    Phone: (307) 568-2020

    Type: Mailing

  • 1114 LANE 12

    LOVELL, WY 824319555

    Phone: (307) 568-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240508001567IMental Health CounselorWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82426)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800241993View full group profile
NameSpecialtyState
Mental Health CounselorWY
Mental Health CounselorWY
Clinical Social WorkerWY

Reviews

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Frequently asked questions

What is TIANA ELLISON's NPI number?
TIANA ELLISON's NPI is 1871984476 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to TIANA ELLISON?
You should see TIANA ELLISON as active in CMS-hosted NPPES data.
What area of care is associated with TIANA ELLISON?
TIANA ELLISON's record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
Is TIANA ELLISON associated with Greybull?
Public fields place TIANA ELLISON around Greybull, Wyoming. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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