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MARY ELIZABETH KETCHUM LPC
NPI 1659867307
Counselor - Professional in Starkville, MS

Active since July 05, 2018PECOS EnrolledAccepts Medicare Assignment
100 STARR AVE STE K, STARKVILLE, MS 39759(662) 425-1051(662) 200-5960 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2021, Aug 11, 2021, Apr 15, 2020 and 1 more (4 updates tracked since 2018).

About Mary Elizabeth Ketchum Lpc NPPES

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

MARY ELIZABETH KETCHUM LPC (NPI 1659867307) is an individual professional provider in Starkville, Mississippi, licensed in Mississippi (2188) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1659867307
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY ELIZABETH KETCHUMCredential: LPC
Location Address100 STARR AVE STE KStarkville, MS 39759-4032
Mailing Address142 Stidham RdMathiston, MS 39752 · (662) 425-1051 · Fax (662) 327-1970
Phone(662) 425-1051
Fax(662) 200-5960
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 5, 2018
Last NPPES UpdateSeptember 10, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
✔ NPI 1659867307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 2188
100 STARR AVE STE K, Starkville, MS 39759
Open in Google Maps ↗

Other Identifiers 1

Medicaid069799252MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Elizabeth Ketchum Lpc 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 ID5395116479
PECOS Enrollment IDI20240118000579
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.

Other Providers at the Same Location NPPES 9

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

MRS. ABBY WOOD TRIPLETT LPC, NCC
Counselor (Mental Health)
100 STARR AVE STE K
STARKVILLE, MS 39759
Oktibbeha County (662) 340-5947
ALICIA VICKERS LPC
Counselor (Professional)
100 STARR AVE STE K
STARKVILLE, MS 39759
Oktibbeha County (662) 340-5947
MRS. DESTANY BERRY
Counselor (Professional)
100 STARR AVE STE K
STARKVILLE, MS 39759
Oktibbeha County (601) 941-7754
ALISSA LEANN WOODWARD P-LPC
Counselor (Mental Health)
100 STARR AVE STE K
STARKVILLE, MS 39759
Oktibbeha County (662) 667-8221
CLAIRE ELLEN GRIESE LPC, NCC, BC-TMH
Counselor (Professional)
100 STARR AVE STE K
STARKVILLE, MS 39759
Oktibbeha County (662) 340-5947
CAROLINE J PHILLIPS LPC
Counselor (Professional)
100 STARR AVE STE K
STARKVILLE, MS 39759
Oktibbeha County (662) 340-5947
ALLY DAVIS LCSW
Social Worker (Clinical)
100 STARR AVE STE K
STARKVILLE, MS 39759
Oktibbeha County (662) 340-5947
LINDY MARIE OSWALT L.P.C.-S.
Counselor (Professional)
100 STARR AVE STE K
STARKVILLE, MS 39759
Oktibbeha County (662) 688-1111

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 Ketchum's NPI number?

The NPI number for Mary Ketchum is 1659867307. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Mary Ketchum located?

Mary Ketchum practices at 100 Starr Ave Ste K, Starkville, MS 39759. The listed phone number is (662) 425-1051.

What is Mary Ketchum's specialty?

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

Is Mary Ketchum enrolled in Medicare?

Yes. Mary Ketchum 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.

What insurance does Mary Ketchum accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Mary Ketchum 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 Ketchum was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.