Individual provider Active NPI

Matt Alan Matthews, LADC/MENTAL HEALTH

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1033694229
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3033 NW 63Rd St Ste E200
Oklahoma City, OK 73116-3633
Phone
(405) 849-9041
Fax
(405) 286-0491
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3033 NW 63Rd St Ste E200
Oklahoma City, OK 73116-3633

Mailing address

827 Lancaster Dr
Yukon, OK 73099-4931
Phone (405) 693-8965

Other practice location 1

7401-7799 Rte 66
El Reno, OK 73036
Phone (405) 422-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240105000824 OK Practitioner - Mental Health Counselor 6901257773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Slate Recovery, LLCGroup PAC ID 5597279240, 4 clinicians

Practice addresses (Care Compare)

3033 NW 63Rd St
Suite E200
Oklahoma City, OK 73116-3633
Phone (405) 849-9041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1436OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Slate Recovery, LLC Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Oklahoma Mental Health Council CurrentSince Jan 1, 2024 Accepting new patients
Oklahoma Mental Health Council CurrentSince Jan 1, 2024 Accepting new patients

Locations

4400 N Lincoln Blvd
Oklahoma City, OK 73105

3033 NW 63rd St
Ste E200
Oklahoma City, OK 73116
Phone (405) 254-5228

Organizations & group practices 3

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1033694229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 LANCASTER DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994931",
            "telephone_number": "405-693-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 NW 63RD ST STE E200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163633",
            "telephone_number": "405-849-9041",
            "fax_number": "405-286-0491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401-7799 RTE 66",
            "address_purpose": "LOCATION",
            "city": "El Reno",
            "state": "OK",
            "postal_code": "73036",
            "country_code": "US",
            "telephone_number": "405-422-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "MATT",
        "middle_name": "ALAN",
        "credential": "LADC/MENTAL HEALTH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.