1. Home
  2. Directory
  3. North Carolina
  4. Fayetteville
  5. Marriage Family Therapist
  6. NPI Profile

SUZANNE ELLIS MIKKELSON M.A.
NPI 1578740924
Marriage & Family Therapist in Fayetteville, NC

Active since January 29, 2008PECOS Enrolled
114 HIGHLAND AVE, FAYETTEVILLE, NC 28305(910) 484-0176(910) 484-5781 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Suzanne Ellis Mikkelson M.a. NPPES

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

SUZANNE ELLIS MIKKELSON M.A. (NPI 1578740924) is an individual marriage & family therapist in Fayetteville, North Carolina, licensed in North Carolina (904) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578740924
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSUZANNE ELLIS MIKKELSONCredential: M.A.
Location Address114 HIGHLAND AVEFayetteville, NC 28305-5306
Mailing Address114 Highland AveFayetteville, NC 28305-5306 · (910) 484-0176 · Fax (910) 484-5781
Phone(910) 484-0176
Fax(910) 484-5781
Sole ProprietorNo
Enumeration DateJanuary 29, 2008
✔ NPI 1578740924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NC · 904
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
114 HIGHLAND AVE, Fayetteville, NC 28305
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzanne Ellis Mikkelson M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Suzanne Mikkelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hill City Counseling And Consulting, LLC
161 mi
Mental Health (Including Community Mental Health Center)
1610A GRAVES MILL RD
Lynchburg, VA 24502
  • Reassigned Medicare billing, Virginia enrollment
  • 5 clinicians in this Medicare group
NPI 1063069185 (434) 258-0591

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.

MELISSA MARTHA REED CMHC
Counselor (Professional)
114 HIGHLAND AVE
FAYETTEVILLE, NC 28305
Cumberland County (910) 484-0176
JAIME REYES GONZALEZ MA
Counselor (Professional)
114 HIGHLAND AVE
FAYETTEVILLE, NC 28305
Cumberland County (910) 484-0176
SHANNON M CATE MA
Marriage & Family Therapist
114 HIGHLAND AVE
FAYETTEVILLE, NC 28305
Cumberland County (910) 484-0176
MS. DARLENE HOPKINS MS
Counselor (Professional)
114 HIGHLAND AVE
FAYETTEVILLE, NC 28305
Cumberland County (910) 484-0176
CRYSTAL MCINNIS
Counselor (Professional)
114 HIGHLAND AVE
FAYETTEVILLE, NC 28305
Cumberland County (910) 484-0176
DENISE S. MERRITT MA, LMFT-ASSOCIATE
Marriage & Family Therapist
114 HIGHLAND AVE
FAYETTEVILLE, NC 28305
Cumberland County (910) 484-0176
JENNIFER N. LAMBERTH MA LMFT
Marriage & Family Therapist
114 HIGHLAND AVE
FAYETTEVILLE, NC 28305
Cumberland County (910) 484-0176
DR. PATRICK J MCALENEY PH.D.
Psychologist (Clinical)
114 HIGHLAND AVE
FAYETTEVILLE, NC 28305
Cumberland County (910) 484-0176

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 Suzanne Mikkelson's NPI number?

The NPI number for Suzanne Mikkelson is 1578740924. It was assigned to this individual provider in the NPPES registry on January 29, 2008.

Where is Suzanne Mikkelson located?

Suzanne Mikkelson practices at 114 Highland Ave, Fayetteville, NC 28305. The listed phone number is (910) 484-0176.

What is Suzanne Mikkelson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Suzanne Mikkelson enrolled in Medicare?

Yes. Suzanne Mikkelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Suzanne Mikkelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Mikkelson reassigns Medicare benefits to Hill City Counseling And Consulting, LLC (Lynchburg, VA). 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 Suzanne Mikkelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Suzanne Mikkelson was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.