Individual provider Active NPI

Matthew Scott Sheldon, LMHC

  • Professional Counselor
  • New Milford, CT
National Provider Identifier
1003549106
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
005916 Issued in CT
Practice address
143 West St Ste V
New Milford, CT 06776-3525
Phone
(860) 799-5750
Fax
(860) 969-1978
NPI assigned
Jul 6, 2022
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 012357 NY
Professional Counselor 101YP2500X 005916 CT Primary

Addresses

Primary practice location

143 West St Ste V
New Milford, CT 06776-3525

Mailing address

2000 Maple Hill St
Yorktown Heights, NY 10598-4176
Phone (914) 962-5101

Other practice location 1

2000 Maple Hill St
Yorktown Heights, NY 10598-4176
Phone (914) 962-5101 ext. 1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240814001284 CT Practitioner - Mental Health Counselor 1052859642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005916CTMDProfessional Counselor
012357NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut CurrentSince Jul 1, 2024 Accepting new patients
State of Connecticut CurrentSince Jul 1, 2024 Accepting new patients

Locations

1635 Central Ave
Bridgeport, CT 06610
Phone (203) 551-7464

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1003549106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MAPLE HILL ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984176",
            "telephone_number": "914-962-5101",
            "fax_number": "914-962-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 WEST ST STE V",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763525",
            "telephone_number": "860-799-5750",
            "fax_number": "860-969-1978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Maple Hill St",
            "address_purpose": "LOCATION",
            "city": "Yorktown Heights",
            "state": "NY",
            "postal_code": "105984176",
            "country_code": "US",
            "telephone_number": "914-962-5101 x1837",
            "fax_number": "914-962-5102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012357",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "005916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

Verify at the official NPI Registry.