Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Jo Ellison, MS, LPC-IT

Individual provider Mental Health Counselor · NPI 1467287979

Stacey Jo Ellison, MS, LPC-IT is a Mental Health Counselor in Waukesha, Wisconsin. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2314 N Grandview Blvd Ste 207
Waukesha, WI 53188-1675
Phone: (262) 251-1112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • W156n8327 Pilgrim Rd Ste 309, Menomonee Falls, WI 53051-3776 — (262) 251-1112

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7516-226 (WI)

Record details

NPI number1467287979
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPC-IT
Sole proprietorYes
NPI enumeratedSeptember 4, 2024
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

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