Individual provider Active NPI

Ella Davern

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1730835679
Registry record updated Jun 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
98373 Issued in TX
Practice address
4933 George Fernandez Dr
El Paso, TX 79938-8900
Phone
(864) 684-8029
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10064 SC
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X 98373 TX Primary

Addresses

Primary practice location

4933 George Fernandez Dr
El Paso, TX 79938-8900

Mailing address

108 Palmetto Park Blvd Ste D
Lexington, SC 29072-7969
Phone (803) 399-9333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250619001390 SC Practitioner - Mental Health Counselor 2860903416 Reassigns benefits to 1 organization
I20250805000113 TX Practitioner - Mental Health Counselor 2860903416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of South Carolina School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Cognitive Behavioral Institute of El PasoGroup PAC ID 8123433208, 5 clinicians
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

1316 N Yarbrough Dr
Suite 2a
El Paso, TX 79925-7803
Phone (915) 373-6021

600 Congress Ave
Austin, TX 78701-3238
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10064SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
The Cognitive Behavioral Institute of El Paso CurrentSince Jul 1, 2025 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Aug 1, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince May 21, 2025 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince May 21, 2025 Accepting new patients

Locations

215 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 756-1000

305 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 359-7206

301 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 359-3545

108 Palmetto Park Blvd
Ste D
Lexington, SC 29072
Phone (803) 356-0949

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

1316 N Yarbrough Dr
Ste 2A
El Paso, TX 79925
Phone (915) 240-5927

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782000000000",
    "number": "1730835679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PALMETTO PARK BLVD STE D",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727969",
            "telephone_number": "803-399-9333",
            "fax_number": "803-808-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 GEORGE FERNANDEZ DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799388900",
            "telephone_number": "864-684-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVERN",
        "first_name": "ELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "10064",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "98373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.