Individual provider Active NPI

Matthew Putts, PHD, LPC, LRC

  • Counselor
  • Hackensack, NJ
National Provider Identifier
1003530411
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1 University PLZ Ste 302
Hackensack, NJ 07601-6205
Phone
(201) 343-0700
NPI assigned
Sep 29, 2022
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1 University PLZ Ste 302
Hackensack, NJ 07601-6205

Mailing address

1 University PLZ Ste 302
Hackensack, NJ 07601-6205
Phone (201) 343-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

908 Pompton Ave
Suite B2
Cedar Grove, NJ 07009-1290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1003530411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ STE 302",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016205",
            "telephone_number": "201-343-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ STE 302",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016205",
            "telephone_number": "201-343-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTTS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, LRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.