MR. KERMIT J ELLISON – Mental Health Counselor, NPI 1013354463

Mental Health Counselor

MR. KERMIT J ELLISON is a healthcare provider. based in Hanover park, Illinois. specializing in Mental Health Counselor. They hold a License No. 180006226 (IL). The NPI Number for MR. KERMIT J ELLISON is 1013354463

Main info

Male

Sole Proprietor

Name

MR. KERMIT J ELLISON

NPI

1013354463

Phone

(630) 372-6599

Address

1240 BAMBURG CT

Enumeration Date

24 May 2013

Last Update Date

24 May 2013

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience49

Completeness75

Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for MR. KERMIT J ELLISON

1240 BAMBURG CT
HANOVER PARK, IL 601335243
Phone: (630) 372-6599
Fax: (630) 372-6697
Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 60133)

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Reviews

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Frequently asked questions

Can I verify MR. KERMIT J ELLISON with an NPI only?

You can start verification with NPI 1013354463 for MR. KERMIT J ELLISON, then check state licensing separately.

Does CMS list MR. KERMIT J ELLISON as active?

Yes — MR. KERMIT J ELLISON is active in the NPI listing used on this page.

What taxonomy line describes MR. KERMIT J ELLISON?

For research purposes, treat MR. KERMIT J ELLISON as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.

What area does MR. KERMIT J ELLISON serve?

MR. KERMIT J ELLISON's listing highlights Hanover Park, Illinois; more addresses can appear in NPPES.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.