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

Melody Joyce Ellis

Individual provider Professional Counselor · NPI 1760145528

Melody Joyce Ellis is a Mental Health Counselor in Bloomington, Illinois. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2021

Practice location Address checks out

108 W Market St
Bloomington, IL 61701-3918
Phone: (309) 827-5351
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178007977 (IL)

Record details

NPI number1760145528
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2021
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021
Mailing address108 W Market St, Bloomington, IL 61701-3918

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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