Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellis Therapeutic Services

Organization Counselor · NPI 1609453307

Ellis Therapeutic Services is a Counselor in Bloomington, Illinois. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4

Practice location Address checks out

16116 Inverrary Ln
Bloomington, IL 61705-5580
Phone: (309) 830-3968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Pastoral Counselor Taxonomy 101YP1600X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1609453307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thelma Carpenter-Ellis — Ceo/Owner · (309) 830-3968
NPI enumeratedMarch 27, 2021
Last updated in NPPESMarch 27, 2021
Certification dateMarch 27, 2021
Mailing address16116 Inverrary Ln, Bloomington, IL 61705-5580

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