Matthew M Davis PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MATTHEW M DAVIS PLLC

Practice address

4231 Ridgecrest Cir Ste B
Amarillo, TX 79109-5498

Phone

(806) 803-5013

Fax

(806) 553-1312

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Matthew M Davis, MA, LPCNPI 1871841981

Title

Therapist

Phone

(806) 803-5013

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew M Davis, LPC

  • Professional Counselor
  • Amarillo, TX
  • NPI 1871841981
  Medicare reassignment NPD Authorized official
• Katrina D'Ann Klaehn, MA, LPC, LSOTP

  • Professional Counselor
  • Amarillo, TX
  • NPI 1982151346
  NPD

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1013639699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 RIDGECREST CIR STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095498",
            "telephone_number": "806-803-5013",
            "fax_number": "806-553-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 RIDGECREST CIR STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095498",
            "telephone_number": "806-803-5013",
            "fax_number": "806-553-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW M DAVIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "806-803-5013",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303185801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kierstin Dawn Mathis
• Raphael Josy Mattamal, M.D.
• Gina Louise Matteson, M.D.
• Amber Michelle Mattheus, LCSW
• Matthew Bleu Schniederjan MD PLLC
• Jessamyn Matthews, LCSW
• Matx Anesthesia, LLC
• Dorian R Matzen, D.O.
• Nazre Mawla, M.D.
• Maxor National Pharmacy Services

• Professional Counselor in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.