MR. MARK DAVID ELLIOTT LPCC
NPI 1134634884
Counselor - Professional in Eureka, CA

Active since December 04, 2017

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2021, Sep 23, 2021, Dec 4, 2017 (3 updates tracked since 2017).

About Mr. Mark David Elliott Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK DAVID ELLIOTT LPCC (NPI 1134634884) is an individual professional provider in Eureka, California, licensed in California (10276) and active in the NPI registry since December 2017. He maintains a secondary practice location in Eureka.

NPPES Registry Identity

NPI1134634884
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MARK DAVID ELLIOTTCredential: LPCC
Location Address2440 6TH STEureka, CA 95501-0788
Mailing AddressPo Box 4198Arcata, CA 95518-4198
Sole ProprietorNo
Enumeration DateDecember 4, 2017
Last NPPES UpdateOctober 1, 20213 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
NPI 1134634884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · 10276
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 10276 (CA), PCCI4283 (CA)
2440 6TH ST, Eureka, CA 95501

Secondary Practice Location 1

Location 11711 3rd StEureka, CA 95501-0714 · Phone (707) 268-2800

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
2440 6TH ST
EUREKA, CA 95501
Community/Behavioral Health
2440 6TH ST
EUREKA, CA 95501
Counselor
2440 6TH ST
EUREKA, CA 95501
Social Worker (Clinical)
2440 6TH ST
EUREKA, CA 95501
Marriage & Family Therapist
2440 6TH ST
EUREKA, CA 95501
Counselor
2440 6TH ST
EUREKA, CA 95501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Elliott's NPI number?

The NPI number for Mark Elliott is 1134634884. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Where is Mark Elliott located?

Mark Elliott practices at 2440 6th St, Eureka, CA 95501. The listed phone number is (707) 268-2800.

What is Mark Elliott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mark Elliott was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.