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Stellix Billing

Credentialing

Medicare PECOS enrollment for behavioral health providers

This is the enrollment service for every behavioral health provider type we support. LPCs and LMFTs also have a separate guide that explains the 2024 coverage rules before you apply. We prepare the PECOS application and follow it through approval.

LPC and LMFT rules, explained separately

The service on this page files and tracks the PECOS application. The guide covers who qualifies, how Medicare sets payment for counselors and marriage and family therapists, and why you should not bill before the effective date.

Medicare enrollment guide for LPCs and LMFTs

Who we enroll

  • Mental health counselors (LPC/LMHC) and marriage and family therapists
  • Clinical psychologists and licensed clinical social workers
  • Psychiatrists and psychiatric nurse practitioners
  • Group practices adding Medicare as a payer
  • Reassignments and location updates for already-enrolled providers

What's included

  • NPI and taxonomy review before submission
  • PECOS application preparation and electronic submission
  • Supporting documentation checklist and uploads
  • Status tracking and responses to Medicare contractor requests
  • Handoff to billing so first Medicare claims use the correct IDs

Frequently asked questions

How long does Medicare PECOS enrollment take?+

Many applications process in 30–90 days when complete. Incomplete applications or contractor requests can add weeks. We submit clean packets and respond quickly to any follow-ups.

Do LPCs and LMFTs need a separate Medicare enrollment?+

Yes. Since 2024 coverage expansion, counselors and MFTs enroll under the applicable Medicare provider type. We handle that pathway end to end.

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