Active NPI
Matthew S Shipp, DBH, LPC
- Professional Counselor
- Madison, AL
National Provider Identifier
1023630795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4586
- Practice address
- 350 Sun Temple Dr
Madison, AL 35758-5919 - Phone
- (256) 288-3333
- Fax
- (256) 288-3334
- NPI assigned
- May 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4586 | AL | |
| Professional Counselor | 101YP2500X | 4586 | AL | Primary |
Addresses
Primary practice location
350 Sun Temple Dr
Madison, AL 35758-5919
Mailing address
600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 Sun Temple Dr
Madison, AL 35758-5919
Phone (256) 288-3333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4586 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Behavioral Health, Inc. | Mental Health | Current | Accepting new patients |
Locations
350 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627
600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627
25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1023630795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SUN TEMPLE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357588643",
"telephone_number": "256-288-3333",
"fax_number": "256-288-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 SUN TEMPLE DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357585919",
"telephone_number": "256-288-3333",
"fax_number": "256-288-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPP",
"first_name": "MATTHEW",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DBH, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-15",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "4586",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "4586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.