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

Mrs. Ellie Stacey Ettman, LPC

Individual provider Professional Counselor · NPI 1023668134

Mrs. Ellie Stacey Ettman, LPC is a Mental Health Counselor in Plymouth Meeting, Pennsylvania. Qualified in 2006, 20 years ago. Licensed in Pennsylvania.

Years since qualifying
20
Licensed in
PA
In the registry since
2019
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

140 W Germantown Pike Ste 160
Plymouth Meeting, PA 19462-1421
Phone: (610) 892-3800
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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 PC006011 (PA)

Record details

NPI number1023668134
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 19, 2019
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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