Individual provider Active NPI

Melissa Anne Mathis, PLMHP, PLMSW

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1063127389
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13281 Issued in NE
Practice address
4316 S 48TH St Ste 1
Lincoln, NE 68516-1287
Phone
(402) 991-8093
NPI assigned
Jan 20, 2023
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13281 NE Primary
Clinical Social Worker 1041C0700X 7818 NE

Addresses

Primary practice location

4316 S 48TH St Ste 1
Lincoln, NE 68516-1287

Mailing address

3139 Colt Ave
Lincoln, NE 68507-1109
Phone (402) 805-7048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250412000013 NE Practitioner - Mental Health Counselor 6204350176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6911 Van Dorn St
Suite 2
Lincoln, NE 68506-6801
Phone (402) 403-9430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13281NEMDMental Health Counselor
6295NEMDDentist
7818NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paradigm Inc CurrentSince Mar 13, 2025 Accepting new patients
Truth in Bloom Clinical CurrentSince Mar 12, 2025 Accepting new patients

Locations

4316 S 48th St
Ste 1
Lincoln, NE 68516
Phone (402) 991-8093

6911 Van Dorn St
Ste 1
Lincoln, NE 68506
Phone (402) 484-5656

6911 Van Dorn St
Ste 2
Lincoln, NE 68506
Phone (402) 403-9430

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1063127389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 COLT AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071109",
            "telephone_number": "402-805-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 S 48TH ST STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685161287",
            "telephone_number": "402-991-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "PLMHP, PLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13281",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "7818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.