Dr. Kathleen Ellis, PHD, LADC, LPC
Dr. Kathleen Ellis, PHD, LADC, LPC is a Mental Health Counselor in New London, Connecticut. Qualified in 2011, 15 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 15
- Licensed in
- CT
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
365 Montauk AveNew London, CT 06320-4700
Phone: (860) 271-4271
Fax: (860) 444-5107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 000903 (CT) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 002541 (CT) |
Record details
| NPI number | 1679902316 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHD , LADC , LPC |
| Sole proprietor | Yes |
| NPI enumerated | November 4, 2013 |
| Last updated in NPPES | September 10, 2025 |
| Certification date | September 10, 2025 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Northeast Medical Group Inc — 1360 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in New London
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Mr. John T Gilleese III, LADC
Recovery Twelve Solutions 155 Montauk Ave, New London, CT 06320 · (860) 389-4324
-
MS. Barbara A Gotay Matthew, LADC
931 Bank St, New London, CT 06320-2702 · (860) 447-2233
-
Mr. Thomas M. Greaney, LADC, LCDP
260 S Frontage Rd Ste 204, New London, CT 06320-2637 · (860) 912-2944
-
Joseph W Green, LADC
165 State St Ste 200, New London, CT 06320-6397 · (860) 443-0036