MS. KEVA ELLIS LPC
NPI 1801414578
Counselor - Professional in Riverdale, GA

Active since July 09, 2020
6815 W FAYETTEVILLE RD, RIVERDALE, GA 30296(281) 236-6762 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Keva Ellis Lpc NPPES

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

MS. KEVA ELLIS LPC (NPI 1801414578) is an individual professional provider in Riverdale, Georgia, licensed in Georgia (LPC010433) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1801414578
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KEVA ELLISCredential: LPC
Location Address6815 W FAYETTEVILLE RDRiverdale, GA 30296-2528
Mailing Address6815 W Fayetteville RdRiverdale, GA 30296-2528 · (907) 984-2477
Sole ProprietorYes
Enumeration DateJuly 9, 2020
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
NPI 1801414578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC010433
6815 W FAYETTEVILLE RD, Riverdale, GA 30296

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Keva Ellis's NPI number?

The NPI number for Keva Ellis is 1801414578. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Keva Ellis located?

Keva Ellis practices at 6815 W Fayetteville Rd, Riverdale, GA 30296. The listed phone number is (281) 236-6762.

What is Keva Ellis'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 Keva Ellis was last updated on June 27, 2022. 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.