Individual provider · Type 1 NPI

Taryn Ellison, LCPC

Professional Counselor · Springfield, IL

NPI number 1942995675 Active

Practice location

319 E Madison St Ste 1F
Springfield, IL 62701-3118

Call (217) 545-8000 Map

Fax (217) 757-8161

Mailing address

PO Box 19639
Springfield, IL 62794-9639

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X180015030 (IL)
Professional Counselor Primary 101YP2500X180.015030 (IL)
Addiction (Substance Use Disorder) Counselor 101YA0400X180.015030 (IL)

Professional Counselor: Definition to come...

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About NPI 1942995675

Taryn Ellison, LCPC's National Provider Identifier is 1942995675, issued on Apr 10, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, IL. The record was last updated on Apr 23, 2025.