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

Georgia Ellis, LPCC

Individual provider Mental Health Counselor · NPI 1528414075

Georgia Ellis, LPCC is a Mental Health Counselor in Prestonsburg, Kentucky. Qualified in 2011, 15 years ago. Practices with Mountain Comprehensive Care Center Inc, a 92-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
15
Licensed in
KY
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

104 S Frnt Ave
Prestonsburg, KY 41653-1614
Phone: (606) 886-8572
Fax: (606) 886-4433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 163208 (KY)

Record details

NPI number1528414075
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedMay 13, 2016
Last updated in NPPESJune 23, 2016
Mailing address104 S Front Ave, Prestonsburg, KY 41653-1614

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Mountain Comprehensive Care Center Inc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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