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MR. CHARLES WAYNE ELLIS CACI, MAC
NPI 1164763777
Counselor - Addiction (Substance Use Disorder) in Rock Hill, SC

Active since March 06, 2013
199 S HERLONG AVE, ROCK HILL, SC 29732(803) 324-1800(803) 328-3831 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles Wayne Ellis Caci, Mac NPPES

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

MR. CHARLES WAYNE ELLIS CACI, MAC (NPI 1164763777) is an individual addiction (substance use disorder) provider in Rock Hill, South Carolina, licensed in South Carolina (1211149) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1164763777
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. CHARLES WAYNE ELLISCredential: CACI, MAC
Location Address199 S HERLONG AVERock Hill, SC 29732-1186
Mailing Address12304 Jacquelyn CtCharlotte, NC 28273-9017 · (704) 575-6165
Phone(803) 324-1800
Fax(803) 328-3831
Sole ProprietorNo
Enumeration DateMarch 6, 2013
✔ NPI 1164763777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in SC · 1211149
199 S HERLONG AVE, Rock Hill, SC 29732
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Other Providers at the Same Location NPPES 20

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

JANET C BUNCH MAC, CACII
Counselor (Addiction (Substance Use Disorder))
199 S HERLONG AVE
ROCK HILL, SC 29732
York County (803) 324-1800
DERRICK FOWLER
Counselor (Addiction (Substance Use Disorder))
199 S HERLONG AVE
ROCK HILL, SC 29732
York County (803) 324-1800
MR. ANDRE FERENC DEMETER
Peer Specialist
199 S HERLONG AVE
ROCK HILL, SC 29732
York County (803) 323-6841
VERNETTE PORTER
Counselor (Addiction (Substance Use Disorder))
199 S HERLONG AVE
ROCK HILL, SC 29732
York County (803) 324-1800
MRS. CHRISTINA L FERGUSON RN
Registered Nurse
199 S HERLONG AVE
ROCK HILL, SC 29732
York County (803) 324-0404
BRIAN REINERTSEN MSW, LMSW, CACP
Counselor (Addiction (Substance Use Disorder))
199 S HERLONG AVE
ROCK HILL, SC 29732
York County (803) 324-1800
TAKENYA SHANNON
Counselor (Addiction (Substance Use Disorder))
199 S HERLONG AVE
ROCK HILL, SC 29732
York County (803) 233-6394
YANIKA GAYMON
Counselor (Addiction (Substance Use Disorder))
199 S HERLONG AVE
ROCK HILL, SC 29732
York County (803) 324-1800

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 Charles Ellis's NPI number?

The NPI number for Charles Ellis is 1164763777. It was assigned to this individual provider in the NPPES registry on March 6, 2013.

Where is Charles Ellis located?

Charles Ellis practices at 199 S Herlong Ave, Rock Hill, SC 29732. The listed phone number is (803) 324-1800.

What is Charles Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Charles Ellis was last updated on March 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.