Individual provider Active NPI

David Ellis, LPC

  • Mental Health Counselor
  • Dalton, GA
National Provider Identifier
1952111825
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC015436 Issued in GA
Practice address
407 N Thornton Ave Ste 4
Dalton, GA 30720-3549
Phone
(762) 231-5806
NPI assigned
Jan 13, 2025
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC015436 GA Primary
Professional Counselor 101YP2500X LPC015436 GA

Addresses

Primary practice location

407 N Thornton Ave Ste 4
Dalton, GA 30720-3549

Mailing address

407 N Thornton Ave Ste 4
Dalton, GA 30720-3549
Phone (762) 231-5806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC015436GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Current Accepting new patients
Psychological Assessment Services Mental Health Current Accepting new patients
Webs Therapy and Assessments, Inc. Mental Health Current Accepting new patients

Locations

407 N Thornton Ave
Ste 4
Dalton, GA 30720
Phone (706) 529-9692

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1952111825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N THORNTON AVE STE 4",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203549",
            "telephone_number": "762-231-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N THORNTON AVE STE 4",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203549",
            "telephone_number": "762-231-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC015436",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.