DAVID JEFFREY ELLIS LPC NPI 1912987744

NPI Information

  • NPI: 1912987744
  • Provider Name: DAVID JEFFREY ELLIS, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 318A E MAIN ST
    HAVELOCK, NC
    ZIP 28532
  • Phone: (252) 447-7764

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NPI Details

David Jeffrey Ellis, LPC is a mental health counselor in Havelock, NC with 50 years of experience. David Jeffrey Ellis, LPC NPI is 1912987744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

318A E MAIN ST
HAVELOCK, NC
ZIP 28532-214
Phone: (252) 447-7764
Fax: (252) 444-6800

The NPI 1912987744 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health4832NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1139NNOTHERNORTH CAROLINABC PROFESSIONAL COUNSELOR
2256439OTHERNORTH CAROLINACOMPSYCH PROVIDER
36102666MEDICAIDNORTH CAROLINA
4361114OTHERNORTH CAROLINAMHN PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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