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

Garrett M Ellis, LPC

Individual provider Professional Counselor · NPI 1164147096

Garrett M Ellis, LPC is a Professional Counselor in Kimberly, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1119 W Kennedy Ave Ste A
Kimberly, WI 54136-2213
Phone: (715) 349-7069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5141 (WI)

Record details

NPI number1164147096
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 4, 2022
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

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