JASON ELLIOTT MA, LMHC
NPI 1164738746
Counselor - Mental Health in Fort Wayne, IN

Active since August 20, 2010PECOS EnrolledAccepts Medicare Assignment
2100 GOSHEN RD, FORT WAYNE, IN 46808(260) 471-3500(260) 471-4263 Get Directions Write a Review

NPPES record last updated: January 7, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jason Elliott Ma, Lmhc NPPES

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

JASON ELLIOTT MA, LMHC (NPI 1164738746) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39002433A) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1164738746
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJASON ELLIOTTCredential: MA, LMHC
Location Address2100 GOSHEN RDFort Wayne, IN 46808-1493
Mailing Address850 N Harrison St, Attn: Anne LawsonWarsaw, IN 46580-3163 · (574) 267-7169 · Fax (574) 268-2377
Fax(260) 471-4263
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 20, 2010
Last NPPES UpdateJanuary 7, 2013
✔ NPI 1164738746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39002433A
2100 GOSHEN RD, Fort Wayne, IN 46808

Accepted 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

Jason Elliott Ma, Lmhc 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 ID749638385
PECOS Enrollment IDI20231121001084
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 Jason Elliott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
12948 COLDWATER RD STE 101
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 16 clinicians in this Medicare group

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.

Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Marriage & Family Therapist
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Psychiatry & Neurology (Psychiatry)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor
2100 GOSHEN RD
FORT WAYNE, IN 46808
Social Worker (Clinical)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor
2100 GOSHEN RD
FORT WAYNE, IN 46808

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 Jason Elliott's NPI number?

The NPI number for Jason Elliott is 1164738746. It was assigned to this individual provider in the NPPES registry on August 20, 2010.

Where is Jason Elliott located?

Jason Elliott practices at 2100 Goshen Rd, Fort Wayne, IN 46808. The listed phone number is (260) 471-3500.

What is Jason Elliott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jason Elliott enrolled in Medicare?

Yes. Jason Elliott 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 Jason Elliott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Elliott reassigns Medicare benefits to Aberdeen Group LLC (Fort Wayne, IN). 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 Jason Elliott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Elliott accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Jason Elliott 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 Jason Elliott was last updated on January 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.