MR. DAVID ROGER TILLIS LPC, NCC, MAC
NPI 1114159696
Counselor - Professional in Johns Creek, GA
NPI Status: Active since August 17, 2009
Contact Information
9635 VENTANA WAY
SUITE 101
JOHNS CREEK, GA
ZIP 30022
Phone: (770) 495-6339
Fax: (770) 495-6338
- Individual
- Male
- Counselor
- Professional
About DAVID TILLIS
This page provides the complete NPI Profile along with additional information for David Tillis, a provider established in Johns Creek, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1114159696 assigned on August 2009. The practitioner's primary taxonomy code is 101YP2500X with license number LPC001626 (GA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1114159696
- Provider Name
- MR. DAVID ROGER TILLIS LPC, NCC, MAC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9635 VENTANA WAY SUITE 101 JOHNS CREEK, GA 30022
- Location Phone
- (770) 495-6339
- Location Fax
- (770) 495-6338
- Mailing Address
- 9635 VENTANA WAY SUITE 101 JOHNS CREEK, GA 30022
- Mailing Phone
- (770) 495-6339
- Mailing Fax
- (770) 495-6338
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-17-2009
- Last Update Date
- 08-17-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPC001626
- License State
- GA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | MAC030853 (GA) |
Reviews for MR. DAVID ROGER TILLIS LPC, NCC, MAC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114159696, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
JOHNS CREEK, GA 30022
JOHNS CREEK, GA 30022
JOHNS CREEK, GA 30022
JOHNS CREEK, GA 30022
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114159696, enumerated as an "individual" on August 17, 2009.
The provider is located at 9635 VENTANA WAY SUITE 101 JOHNS CREEK, GA 30022 and the phone number is (770) 495-6339.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
