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Active NPI 1306398854 Individual Practitioner Male Practitioner

Evan Ely , LPCC, LICDC

Counselor - Professional • Xenia, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Evan Ely, LPCC, LICDC is a certified Counselor - Professional practicing in Xenia, OH. With approximately 18 years of clinical experience since completing medical education in 2008, Evan Ely delivers high-quality medical care to the local community at 53 W MAIN ST.

Evan Ely is affiliated with Mahajan Therapeutics, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

53 W Main St

Xenia, OH 453852979

Telephone 9379712350

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Xenia, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs -5.3 yrs vs City Avg
City Avg: 23.3 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Xenia, OH (6923 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ely (18 Years) 18 Yrs
Xenia Specialty Average (23.3 Years) 23.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-12-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E1100146

Definition to come...

Hospital & Practice Group Affiliations

Mahajan Therapeutics, Llc

6300 N Main St, Dayton, OH 454153154

Phone: 9372751500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Gina Spencer , LPN

Licensed Practical Nurse

NPI 1003606526

Licensed Practical Nurse

Lindsay Bone

Nurse Practitioner - Family

NPI 1083187710
Racheal Anderson

Case Manager/Care Coordinator

NPI 1184342529
Sherri Abbott , LSW

Social Worker

NPI 1194244459

Licensed Social Worker

Nicholas Gash

Case Manager/Care Coordinator

NPI 1245959899
Melissa Fite

Case Manager/Care Coordinator

NPI 1386268472

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 03, 2021

Registered at 53 W MAIN ST, XENIA, OH 453852979 (Tel: 9379712350)

📍
Updated Business Mailing Address December 03, 2021

Registered at PO BOX 55, WALTON, KY 410940055

NPI Profile Active November 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2016

Registered at 820 S MARTIN LUTHER KING JR BLVD, HAMILTON, OH 450113216 (Tel: 5138059697)

📍
Updated Business Mailing Address November 01, 2016

Registered at 820 S MARTIN LUTHER KING JR BLVD, HAMILTON, OH 450113216 (Tel: 5138059697)

👤
Provider Name / Credentials Updated November 01, 2016

Recorded as EVAN ELY, LPCC, LICDC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2016

Counselor (License #E1100146 in OH)

🟢
Initial NPI Registration & Enumeration November 01, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306398854
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2016
Last Update: December 03, 2021
Sole Proprietor: No

Mailing Address

Po Box 55

Walton, KY 410940055

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.