Kelly L. Mattis, L.P.C.C.
NPI 1841429719ActiveIndividual· Counselor· Jamestown, ND
Counselor (L.P.C.C.) in Jamestown, North Dakota, licensed in ND, with an NPI issued in July 2009. Medicare paid $1,199 for services to 18 patients in 2024.
Overview
| NPI | 1841429719 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.P.C.C. |
| Sole proprietor | No |
| NPI issued | Jul 13, 2009 |
| Last updated in NPPES | Jan 29, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | 626-3-1-09-185 | ND |
| Counselor, Mental Health | 101YM0800X | 626-3-1-09-185 | ND |
| Counselor, Pastoral | 101YP1600X | 626-3-1-09-185 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (IA); Practitioner - Mental Health Counselor (MN); Practitioner - Mental Health Counselor (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 18 across 1 procedure code |
| Paid by Medicare | $1,199 |
Other Counselor providers in Jamestown
- 1881051928