Mark Mathews, MA, LGPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP14100 Issued in MD

Practice address

102 E Cecil Ave Ste D
North East, MD 21901-4057

Phone

(484) 849-1068

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Flourish Counseling LLC

  • Mental Health Counselor
  • North East, MD
  • NPI 1255201570
  Authorized official Same address or phone

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1023798287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E CECIL AVE STE D",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219014057",
            "telephone_number": "484-849-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E CECIL AVE STE D",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219014057",
            "telephone_number": "484-849-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "MARK",
        "credential": "MA, LGPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP14100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lee
• Kayla Paige Lipson, LGPC
• Ryan Aidan Lundergan, LGPC
• Lori N Lusk, DPT
• Maryland Sportscare & Rehab LLC (Pivot Physical Therapy of Maryland)
• Jeffrey Eades Maupin, P. T.
• Kenduanyi Menkem
• Kathleen Miller, PT
• Tyler Francis Miller
• Taylor Minderlein, ATC

• Mental Health Counselor in North East, MD
• Providers in North East, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.