Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Peter Ellison, LPC, CCDP-D

Individual provider Professional Counselor · NPI 1831646066

Peter Ellison, LPC, CCDP-D is a Mental Health Counselor in Breinigsville, Pennsylvania. Qualified in 2004, 22 years ago. Practices with Nulton Diagnostic and Treatment Center, PC, a 38-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Licensed in
PA
In the registry since
2016
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

628 Twin Ponds Rd
Breinigsville, PA 18031-1843
Phone: (484) 263-0197
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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 PC008997 (PA)

Record details

NPI number1831646066
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , CCDP-D
Sole proprietorYes
NPI enumeratedSeptember 6, 2016
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address628 Twin Ponds Rd, Breinigsville, PA 18031-1843

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Nulton Diagnostic And Treatment Center, Pc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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