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

Kevin Dayton Ellis, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1598272437

Kevin Dayton Ellis, LICDC is a Mental Health Counselor in Ashtabula, Ohio. Qualified in 2018, 8 years ago. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2801 C Ct
Ashtabula, OH 44004-4577
Phone: (440) 998-0722
Fax: (440) 992-1699
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 161600 (OH)

Record details

NPI number1598272437
Entity typeIndividual (Type 1)
GenderMale
Credentials LICDC
Sole proprietorNo
NPI enumeratedDecember 31, 2017
Last updated in NPPESDecember 31, 2017

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Ashtabula