MATTISON LANIER ELLIS LPC
NPI 1851461917
Counselor - Professional in Southaven, MS

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
8829 CENTRE ST, SUITE 105, SOUTHAVEN, MS 38671(662) 280-6777(662) 280-6775 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mattison Lanier Ellis Lpc NPPES

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

MATTISON LANIER ELLIS LPC (NPI 1851461917) is an individual professional provider in Southaven, Mississippi, licensed in Mississippi (1112) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1851461917
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTISON LANIER ELLISCredential: LPC
Location Address8829 CENTRE ST, SUITE 105Southaven, MS 38671-2610
Mailing Address8829 Centre St, Suite 105Southaven, MS 38671-2610 · (662) 280-6777 · Fax (662) 280-6775
Fax(662) 280-6775
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1851461917 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 · 1112
8829 CENTRE ST, Southaven, MS 38671

Accepted 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

Mattison Lanier Ellis 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 ID2163962226
PECOS Enrollment IDI20240904003690
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 8

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

Social Worker (Clinical)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Counselor (Mental Health)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Clinic/Center (Rehabilitation, Substance Use Disorder)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Social Worker (Clinical)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Clinic/Center (Rehabilitation, Substance Use Disorder)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Counselor (Professional)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Counselor (Mental Health)
8829 CENTRE ST
SOUTHAVEN, MS 38671
Psychologist (Addiction (Substance Use Disorder))
8829 CENTRE ST
SOUTHAVEN, MS 38671

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 Mattison Ellis's NPI number?

The NPI number for Mattison Ellis is 1851461917. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Mattison Ellis located?

Mattison Ellis practices at 8829 Centre St Suite 105, Southaven, MS 38671. The listed phone number is (662) 280-6777.

What is Mattison Ellis's specialty?

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

Is Mattison Ellis enrolled in Medicare?

Yes. Mattison Ellis 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 Mattison Ellis accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Mattison Ellis 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 Mattison Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.