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

Taryn Ellison, LCPC

Individual provider Mental Health Counselor · NPI 1942995675

Taryn Ellison, LCPC is a Mental Health Counselor in Springfield, Illinois. Qualified in 2019, 7 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2023
Specialties on file
3
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

319 E Madison St Ste 1F
Springfield, IL 62701-3118
Phone: (217) 545-8000
Fax: (217) 757-8161
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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 180.015030 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 180015030 (IL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 180.015030 (IL)

Record details

NPI number1942995675
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedApril 10, 2023
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing addressPo Box 19639, Springfield, IL 62794-9639

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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