P Praxis·MD
● Active Type 1 · Individual

MR. David Roger Tillis, LPC, NCC, MAC

Counselor·Johns Creek, GA· NPI 1114159696 · Enumerated 2009 · 16 years on NPI
Tillis is 1 of 31 counselor providers in Johns Creek and 1 of 7547 in Georgia.
NPI age
16 years
Enumerated 2009-08-17
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-08-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
16 years
↑ 7 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-08Enumerated in NPPES
2009 2026

Where they practice

Practice location
9635 Ventana Way, Suite 101
Johns Creek, GA 300228620
📞 7704956339fax 7704956338
Mailing address
9635 Ventana Way, Suite 101
Johns Creek, GA 300228620
📞 7704956339fax 7704956338

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC001626 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    GA license #MAC030853 taxonomy 101YA0400X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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