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KEVIN DAYTON ELLIS LICDC
NPI 1598272437
Counselor - Addiction (Substance Use Disorder) in Ashtabula, OH

Active since December 31, 2017PECOS Enrolled
2801 C CT, ASHTABULA, OH 44004(440) 998-0722(440) 992-1699 Get Directions Write a Review

NPPES record last updated: December 31, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kevin Dayton Ellis Licdc NPPES

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

KEVIN DAYTON ELLIS LICDC (NPI 1598272437) is an individual addiction (substance use disorder) provider in Ashtabula, Ohio, licensed in Ohio (161600) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1598272437
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEVIN DAYTON ELLISCredential: LICDC
Location Address2801 C CTAshtabula, OH 44004-4577
Mailing Address2009 E Prospect RdAshtabula, OH 44004-5337 · (440) 812-2552
Phone(440) 998-0722
Fax(440) 992-1699
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 31, 2017
✔ NPI 1598272437 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 OH · 161600
2801 C CT, Ashtabula, OH 44004
Open in Google Maps ↗

Other Identifiers 1

Other161600OH · Ohio Chemical Dependency Professionals Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Dayton Ellis Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315419819
PECOS Enrollment IDI20260616002153
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Area Recovery Center
Same address
Case Management
2801 C CT
Ashtabula, OH 44004
  • Reassigned Medicare billing, Ohio enrollment
  • 2 clinicians in this Medicare group
NPI 1649332438 (440) 998-0722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KAREN FRONCZAK
Counselor (Professional)
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-4210
JAILAH NOELLE TURNER
Case Manager/Care Coordinator
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-4210
KAYLA FRYE
Counselor (Addiction (Substance Use Disorder))
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-0722
HAYLEE MCMAHON CDCA
Counselor (Addiction (Substance Use Disorder))
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-4210
CALI FAYE MARIE RICHARDSON
Counselor
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-4210
AMANDA M BAKER
Peer Specialist
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-0722
BREANNA COLE
Community/Behavioral Health
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-4210
STEFANIE MARIE WILLIAMS
Case Manager/Care Coordinator
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-0722

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 Kevin Ellis's NPI number?

The NPI number for Kevin Ellis is 1598272437. It was assigned to this individual provider in the NPPES registry on December 31, 2017.

Where is Kevin Ellis located?

Kevin Ellis practices at 2801 C Ct, Ashtabula, OH 44004. The listed phone number is (440) 998-0722.

What is Kevin Ellis's specialty?

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

Is Kevin Ellis enrolled in Medicare?

Yes. Kevin Ellis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Ellis reassigns Medicare benefits to Lake Area Recovery Center (Ashtabula, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Ellis accept?

Health plans from MedMutual list Kevin Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Ellis was last updated on December 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.