Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DAVID JEFFREY ELLIS LPC
NPI 1912987744
Counselor - Mental Health in Havelock, NC

Active since January 18, 2006PECOS Enrolled
318A E MAIN ST, HAVELOCK, NC 28532(252) 447-7764(252) 444-6800 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Jeffrey Ellis Lpc NPPES

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

DAVID JEFFREY ELLIS LPC (NPI 1912987744) is an individual mental health provider in Havelock, North Carolina, licensed in North Carolina (4832) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1912987744
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID JEFFREY ELLISCredential: LPC
Location Address318A E MAIN STHavelock, NC 28532-2214
Mailing Address318a E Main StHavelock, NC 28532-2214 · (252) 447-7764 · Fax (252) 444-6800
Fax(252) 444-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1912987744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · 4832
318A E MAIN ST, Havelock, NC 28532

Other Identifiers 4

Other256439NC · Compsych Provider
Other139NNNC · Bc Professional Counselor
Other361114NC · Mhn Provider
Medicaid6102666NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Jeffrey Ellis Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719406545
PECOS Enrollment IDI20250902002532
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.

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
318A E MAIN ST
HAVELOCK, NC 28532
Counselor (Professional)
318A E MAIN ST
HAVELOCK, NC 28532
Social Worker (Clinical)
318A E MAIN ST
HAVELOCK, NC 28532
Psychologist (Clinical)
318A E MAIN ST
HAVELOCK, NC 28532
Psychologist (Clinical)
318A E MAIN ST
HAVELOCK, NC 28532
Psychologist
318A E MAIN ST
HAVELOCK, NC 28532
Psychologist (Clinical)
318A E MAIN ST
HAVELOCK, NC 28532

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 David Ellis's NPI number?

The NPI number for David Ellis is 1912987744. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is David Ellis located?

David Ellis practices at 318A E Main St, Havelock, NC 28532. The listed phone number is (252) 447-7764.

What is David Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is David Ellis enrolled in Medicare?

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

What insurance does David Ellis accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas and CareSource and 4 other insurers list David 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 David Ellis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.