ELLEN JANICE CALVERT, MS LP LICSW LADC — NPI 1811946007 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder) in ST CLOUD, MN)

CMS-1500 Box 24J / 33a • NPI

1811946007

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TA0400X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder)

Box 32 Service Location & ZIP+4

713 ANDERSON AVE, ST CLOUD, MN, 56303

Official NPPES Practice Location

Practice Phone & Referral Fax

(320) 229-3761

Fax: (320) 229-3763

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1811946007 (ELLEN JANICE CALVERT, MS LP LICSW LADC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1811946007` (NPI-1 Individual Practitioner)
Provider / Legal Name	ELLEN JANICE CALVERT, MS LP LICSW LADC
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder) NUCC Code: `103TA0400X` (Psychologist, Addiction (Substance Use Disorder))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	713 ANDERSON AVE, ST CLOUD, MN, 56303
Practice Telephone / Fax	Tel: (320) 229-3761 \| Fax: (320) 229-3763
Administrative Mailing Address	1406 6TH AVE N, ST CLOUD, MN, 56303
Enumeration & Last Sync	Enumerated: 2006-05-08 \| CMS Record Updated: 2026-07-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

713 ANDERSON AVE, ST CLOUD, MN, 56303

🗺️ Open in Google Maps 🏥 More Providers in ST CLOUD

🔒 Are you ELLEN JANICE CALVERT, MS LP LICSW LADC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (103TA0400X)

What Does Taxonomy Code 103TA0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TA0400X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Addiction (Substance Use Disorder) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ELLEN JANICE CALVERT, MS LP LICSW LADC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TA0400X` — Psychologist, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: MN \| License: `12154` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

ELLEN JANICE CALVERT, MS LP LICSW LADC (NPI #1811946007)