DEVIN ALEXANDER ELLIS LPC
NPI 1952818064
Counselor - Professional in Mesa, AZ

Active since January 10, 2018PECOS Enrolled
1111 S STAPLEY DR, MESA, AZ 85204(602) 685-6000(480) 834-5703 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 9, 2024, Jan 10, 2018 (2 updates tracked since 2018).

About Devin Alexander Ellis Lpc NPPES

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

DEVIN ALEXANDER ELLIS LPC (NPI 1952818064) is an individual professional provider in Mesa, Arizona, licensed in Arizona (23311) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952818064
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDEVIN ALEXANDER ELLISCredential: LPC
Location Address1111 S STAPLEY DRMesa, AZ 85204-5059
Mailing Address3003 N Central AvePhoenix, AZ 85012-2902 · (602) 685-6000 · Fax (602) 302-7925
Fax(480) 834-5703
Sole ProprietorNo
Enumeration DateJanuary 10, 2018
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1952818064 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 AZ · 23311
1111 S STAPLEY DR, Mesa, AZ 85204

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devin Alexander 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 Reassignment

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

Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Arizona enrollment
  • 52 clinicians in this Medicare group

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.

Counselor (Professional)
1111 S STAPLEY DR
MESA, AZ 85204
Counselor (Professional)
1111 S STAPLEY DR
MESA, AZ 85204
Counselor (Professional)
1111 S STAPLEY DR
MESA, AZ 85204
Social Worker (Clinical)
1111 S STAPLEY DR
MESA, AZ 85204
Nurse Practitioner (Family)
1111 S STAPLEY DR
MESA, AZ 85204
Specialist
1111 S STAPLEY DR, SUITE 111
MESA, AZ 85204
Social Worker (Clinical)
1111 S STAPLEY DR
MESA, AZ 85204
Counselor (Professional)
1111 S STAPLEY DR
MESA, AZ 85204

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 Devin Ellis's NPI number?

The NPI number for Devin Ellis is 1952818064. It was assigned to this individual provider in the NPPES registry on January 10, 2018.

Where is Devin Ellis located?

Devin Ellis practices at 1111 S Stapley Dr, Mesa, AZ 85204. The listed phone number is (602) 685-6000.

What is Devin Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Devin Ellis enrolled in Medicare?

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

Which organization bills Medicare for Devin Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devin Ellis reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). 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 Devin Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Devin Ellis accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Devin 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 Devin Ellis was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.