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

Jesse Severt Ellis, LMFT

Individual provider Mental Health Counselor · NPI 1376794354

Jesse Severt Ellis, LMFT is a Marriage and Family Therapist in Bloomington, Minnesota. Qualified in 2007, 19 years ago. Practices with Catalyst Mental Health, Gbc, a 28-clinician group and accepts Medicare assignment.

Years since qualifying
19
In the registry since
2008
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

8120 Penn Ave S Ste 270
Bloomington, MN 55431-1320
Phone: (800) 336-5973
Fax: (612) 234-4689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1376794354
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorNo
NPI enumeratedOctober 8, 2008
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Catalyst Mental Health, Gbc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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