Elicia Marie Mathis

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

7556 US Highway 70
Bartlett, TN 38133-2686

Phone

(901) 552-3497

Fax

(574) 635-9228

NPI assigned

Aug 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Compassion Mental Health Inc

  • Multi-Specialty Clinic/Center
  • Bartlett, TN
  • NPI 1124583687
  NPD

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1396355541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7556 US HIGHWAY 70",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332686",
            "telephone_number": "901-552-3497",
            "fax_number": "574-635-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7556 US HIGHWAY 70",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332686",
            "telephone_number": "901-552-3497",
            "fax_number": "574-635-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "ELICIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Marler, PT
• Steven T Martin, FNP
• Stuart Donald Martin, DPT
• Martinez Neurophysiology
• Antonio Martinez, M.D.
• Shawn Matsunaga, ATC,CSHE
• Dawn Matz, FNP
• May Family Practice PLLC
• Pamela Sue Mayton, MSCCCSLP
• Concetta Caterina Mazzone

• Addiction (Substance Use Disorder) Counselor in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.