DAVID ALLEN ELAM (PH.D.) – Professional Counselor, NPI 1831112804

DAVID ALLEN ELAM (PH.D.) is a healthcare provider. based in Carbondale, Illinois. specializing in Professional Counselor. They hold the professional credentials PH.D.. The NPI Number for DAVID ALLEN ELAM (PH.D.) is 1831112804

Main info

Male
Sole Proprietor
Name
DAVID ALLEN ELAM (PH.D.)
NPI
1831112804
Phone
(618) 529-3900
Address
139 PINE SHORE DR # 37
Enumeration Date
25 July 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for DAVID ALLEN ELAM (PH.D.)

  • 139 PINE SHORE DR # 37

    CARBONDALE, IL 629027503

    Phone: (618) 529-3900

    Fax: (618) 529-0194

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240329000252IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62902)

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Reviews

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Frequently asked questions

What number should I use to identify DAVID ALLEN ELAM (PH.D.) for billing?
Administrative and clinical systems typically use NPI 1831112804 for DAVID ALLEN ELAM (PH.D.).
Quick check: is DAVID ALLEN ELAM (PH.D.) active?
Public NPPES data shows DAVID ALLEN ELAM (PH.D.) with an active NPI status right now.
What does the directory say DAVID ALLEN ELAM (PH.D.) does?
Insurance directories may phrase it differently, but here DAVID ALLEN ELAM (PH.D.) maps to Professional Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to DAVID ALLEN ELAM (PH.D.)?
The directory associates DAVID ALLEN ELAM (PH.D.) with Carbondale, Illinois. Check all listed addresses for suites or satellite offices.
Can I export DAVID ALLEN ELAM (PH.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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