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

Melody Joyce Ellis

Individual provider Professional Counselor · NPI 1760145528

Melody Joyce Ellis is a Mental Health Counselor in Bloomington, Illinois. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2021

Practice location Address checks out

108 W Market St
Bloomington, IL 61701-3918
Phone: (309) 827-5351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178007977 (IL)

Record details

NPI number1760145528
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2021
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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