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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: October 25, 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.

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
Phone(252) 447-7764
Fax(252) 444-6800
Sole ProprietorNo
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
Open in Google Maps ↗

Other Identifiers 4

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Reassignments

4

Medicare enrollment records show David Ellis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Live Life Now Health Group PA
438 mi
Addiction Medicine
26 LEWIS ST # 2
Yonkers, NY 10703
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
NPI 1770111429 (917) 529-2030
Sondermind Provider Network LLC
1,563 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Connecticut and Florida enrollments
  • 27 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
The Porter Medical Group P.C.
1,564 mi
Occupational Medicine
1550 WEWATTA ST STE 200
Denver, CO 80202
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: The Porter Medical Group PC
  • 5 clinicians in this Medicare group
NPI 1790395002 (833) 820-4309
Sondermind PC
2,481 mi
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, North Carolina enrollment
  • 108 clinicians in this Medicare group
NPI 1003646977 (844) 843-7279

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 7

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

LISA MILLER MFS, MS, LCMHC
Counselor (Professional)
318A E MAIN ST
HAVELOCK, NC 28532
Craven County (252) 571-7792
DENISE LOREEN BRINKLEY LPC
Counselor (Professional)
318A E MAIN ST
HAVELOCK, NC 28532
Craven County (252) 463-3792
MR. DAVID LOUIS ELLIS LCSW
Social Worker (Clinical)
318A E MAIN ST
HAVELOCK, NC 28532
Craven County (252) 646-1172
DICKINSON PSYCHOLOGICAL SERVICES PA
Psychologist (Clinical)
318A E MAIN ST
HAVELOCK, NC 28532
Craven County (252) 447-7764
LEIF C. CROWE PH.D.
Psychologist (Clinical)
318A E MAIN ST
HAVELOCK, NC 28532
Craven County (252) 444-1711
PAT R. ROBBINS CONSULTATIONS
Psychologist
318A E MAIN ST
HAVELOCK, NC 28532
Craven County (252) 444-1264
DR. PATRICIA S DICKINSON PH.D.
Psychologist (Clinical)
318A E MAIN ST
HAVELOCK, NC 28532
Craven County (252) 447-7764

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.

Which organizations bill Medicare for David Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Ellis reassigns Medicare benefits to 4 organizations: Live Life Now Health Group PA (Yonkers, NY), Sondermind Provider Network LLC (Denver, CO), The Porter Medical Group P.C. (Denver, CO) and Sondermind PC (San Jose, CA). Each 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 David Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Ellis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, CareSource and Cigna HealthCare of Florida, Inc. and 7 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 3 months 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.