Ms Kelly L Mattis, LPCC - Medicare Counselor in Jamestown, ND

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Ms Kelly L Mattis, LPCC is a medicare enrolled "Counselor" provider in Jamestown, North Dakota. Her current practice location is 520 3rd St Nw, Jamestown, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 253-6300.

Ms Kelly L Mattis is licensed to practice in North Dakota (license number 626-3-1-09-185) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841429719.

Contact Information

Ms Kelly L Mattis, LPCC
520 3rd St Nw,
Jamestown, ND 58401-2968
(701) 253-6300
(701) 253-6400

Map and Direction


Healthcare Provider's Profile

Full NameMs Kelly L Mattis
GenderFemale
SpecialityCounselor
Location520 3rd St Nw, Jamestown, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841429719
  • Provider Enumeration Date: 07/13/2009
  • Last Update Date: 01/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8628414216
  • Enrollment ID: I20240305004155

Medical Identifiers

Medical identifiers for Ms Kelly L Mattis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841429719NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 626-3-1-09-185 (North Dakota)Primary
101YM0800XCounselor - Mental Health 626-3-1-09-185 (North Dakota)Secondary
101YP1600XCounselor - Pastoral 626-3-1-09-185 (North Dakota)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kelly L Mattis allows following entities to bill medicare on her behalf.
Entity NameBadlands Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124072525
PECOS PAC ID: 9739085499
Enrollment ID: O20031211000947
Entity NameLake Region Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669411930
PECOS PAC ID: 8426941436
Enrollment ID: O20040204000457
Entity NameWest Central Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649226713
PECOS PAC ID: 6002801107
Enrollment ID: O20040419000160
Entity NameSouth Central Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225075906
PECOS PAC ID: 2365420262
Enrollment ID: O20040708000481
Entity NameNortheast Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366496341
PECOS PAC ID: 1658341441
Enrollment ID: O20040729000033
Entity NameNorthwest Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770524613
PECOS PAC ID: 4183683196
Enrollment ID: O20041006000330
Entity NameSoutheast Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932146941
PECOS PAC ID: 8527027556
Enrollment ID: O20041006000512
Entity NameNorth Central Human Service Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477592533
PECOS PAC ID: 6305885013
Enrollment ID: O20050624000207

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kelly L Mattis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kelly L Mattis, LPCC
Po Box 2055,
Jamestown, ND 58402-2055

Ph: (701) 253-6300		Ms Kelly L Mattis, LPCC
520 3rd St Nw,
Jamestown, ND 58401-2968

Ph: (701) 253-6300

Reviews and Comments


Counselor in Jamestown, ND

Ms. Denise Ranae Geringer, LCSW, LAC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 300 2nd Ave Ne, Jamestown, ND 58401
Phone: 701-251-6000    Fax: 701-323-5709
Angela M Lehr, LAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 520 3rd St Nw, Jamestown, ND 58401
Phone: 701-253-6300    Fax: 701-253-6400
Ms. Lindsey Aberle Hallsten, LAC LICENSED ADDICTI
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 300 2nd Ave Ne, Suite 215, Jamestown, ND 58401
Phone: 701-952-1250    Fax: 701-952-1252
Katherine Marie Cooper,
Counselor
Medicare: Medicare Enrolled
Practice Location: 800 12th Ave Ne Apt 140, Jamestown, ND 58401
Phone: 567-337-9937    
Victoria M Gore,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 520 3rd St Nw, Jamestown, ND 58401
Phone: 701-253-6300    Fax: 701-253-6400
Ms. Pamela Sagness, LAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 300 2nd Ave Ne, Suite 215, Jamestown, ND 58401
Phone: 701-952-1250    Fax: 701-952-1252
Mr. Darin Mark Hassel, LAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 300 2nd Ave Ne Ste 221, Jamestown, ND 58401
Phone: 701-252-5398    Fax: 701-952-5398

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.