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MARY-ELLEN PON LCSW
NPI 1356901284
Social Worker - Clinical in Pflugerville, TX

Active since June 13, 2019PECOS Enrolled
2001 SERENTIY DRIVE, PFLUGERVILLE, TX 78660(512) 459-6417 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2026, Aug 14, 2025, Jun 13, 2019 (3 updates tracked since 2019).

About Mary-ellen Pon Lcsw NPPES

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

MARY-ELLEN PON LCSW (NPI 1356901284) is an individual clinical provider in Pflugerville, Texas, licensed in Texas (30603) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1356901284
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY-ELLEN PONCredential: LCSW
Location Address2001 SERENTIY DRIVEPflugerville, TX 78660
Mailing Address2001 Serentiy DrivePflugerville, TX 78660 · (512) 459-6417
Phone(512) 459-6417
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJune 13, 2019
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1356901284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 30603
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 69 (FL)
2001 SERENTIY DRIVE, Pflugerville, TX 78660
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Other Names 1

Former Name (1)Mary-ellen Roach

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Moda Health Plan, Inc. 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 (PECOS)

Mary-ellen Pon Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719474394
PECOS Enrollment IDI20251016002587
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-ellen Pon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,110 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.88 – $174.00
Typical copayment $0.00 (range $14.47 – $43.50)
Most-billed visit code NA
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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-ellen Pon's NPI number?

The NPI number for Mary-ellen Pon is 1356901284. It was assigned to this individual provider in the NPPES registry on June 13, 2019. The provider is also known as Mary-Ellen Roach.

Where is Mary-ellen Pon located?

Mary-ellen Pon practices at 2001 Serentiy Drive, Pflugerville, TX 78660. The listed phone number is (512) 459-6417.

What is Mary-ellen Pon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary-ellen Pon enrolled in Medicare?

Yes. Mary-ellen Pon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary-ellen Pon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary-ellen Pon reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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-ellen Pon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary-ellen Pon accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Moda Health Plan, Inc. and UnitedHealthcare list Mary-ellen Pon 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-ellen Pon was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.