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MRS. MARY ELLEN SOUDER LPCC-S
NPI 1124247499
Counselor - Professional in Mansfield, OH

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment
151 MARION AVE, MANSFIELD, OH 44903(419) 774-9969(419) 756-5642 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Mary Ellen Souder Lpcc-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY ELLEN SOUDER LPCC-S (NPI 1124247499) is an individual professional provider in Mansfield, Ohio, licensed in Ohio (E0007898-SUPV) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1124247499
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MARY ELLEN SOUDERCredential: LPCC-S
Location Address151 MARION AVEMansfield, OH 44903-2223
Mailing Address235 Bartley AveMansfield, OH 44903-2005 · (419) 565-1314 · Fax (419) 756-5642
Phone(419) 774-9969
Fax(419) 756-5642
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 25, 2007
Last NPPES UpdateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1124247499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E0007898-SUPV
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
151 MARION AVE, Mansfield, OH 44903
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mary Ellen Souder Lpcc-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335588383
PECOS Enrollment IDI20240423003965
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Souder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Life Counseling & Psychiatric Services
Same address
Mental Health
151 MARION AVE
Mansfield, OH 44903
  • Reassigned Medicare billing, Ohio enrollment
  • 25 clinicians in this Medicare group
NPI 1598862641 (419) 774-9969

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY LEE RUSSELL LPCC-S, LICDC
Counselor (Mental Health)
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
PATRICK RAY EUTSEY
Peer Specialist
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
DEBORA VAN ROMER LPC
Counselor (Mental Health)
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
MEGAN SCHERER
Counselor (Mental Health)
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
MR. DEAN C DONNAN LICDC
Counselor (Addiction (Substance Use Disorder))
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
MARY L. PRYOR LSW
Social Worker (Clinical)
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
MR. BRANDON STONE CDCA
Counselor (Addiction (Substance Use Disorder))
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969
TRAVIS L ONEY PRS
Peer Specialist
151 MARION AVE
MANSFIELD, OH 44903
Richland County (419) 774-9969

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Souder's NPI number?

The NPI number for Mary Souder is 1124247499. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Mary Souder located?

Mary Souder practices at 151 Marion Ave, Mansfield, OH 44903. The listed phone number is (419) 774-9969.

What is Mary Souder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Souder enrolled in Medicare?

Yes. Mary Souder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Souder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Souder reassigns Medicare benefits to Family Life Counseling & Psychiatric Services (Mansfield, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Souder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Souder accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Paramount list Mary Souder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Souder was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.