Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Ely, LPCC, LICDC

Individual provider Professional Counselor · NPI 1306398854

Evan Ely, LPCC, LICDC is a Mental Health Counselor in Xenia, Ohio. Qualified in 2008, 18 years ago. Practices with Mahajan Therapeutics, LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
18
Licensed in
OH
In the registry since
2016
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

53 W Main St
Xenia, OH 45385-2979
Phone: (937) 971-2350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E1100146 (OH)

Record details

NPI number1306398854
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC , LICDC
Sole proprietorNo
NPI enumeratedNovember 1, 2016
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing addressPo Box 55, Walton, KY 41094-0055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mahajan Therapeutics, Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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