Matias Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MATIAS INC

Doing business as

Lighthouse Counseling and Wellness

Practice address

1000 Washington St
Michigan City, IN 46360-4374

Phone

(219) 916-0239

Fax

(219) 809-9198

NPI assigned

Jan 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Reinaldo Matias Jr., PH.D.NPI 1801830641

Title

President, Clinical Director

Phone

(219) 916-0239

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse Counseling and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Reinaldo Matias Jr., PHD

  • Clinical Psychologist
  • Crown Point, IN
  • NPI 1801830641
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1033749908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LAKE SHORE DR STOP 8",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463602037",
            "telephone_number": "219-221-2375",
            "fax_number": "219-809-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WASHINGTON ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604374",
            "telephone_number": "219-916-0239",
            "fax_number": "219-809-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATIAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "MATIAS",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "219-916-0239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Counseling and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doriedee Mark, RPT
• Erika Leigh Maroon, DC
• Drake E Marshall, FNP-C
• Veronica C Martin, MA
• Maryann T. Fumo PC
• Dillan Matthes, DDS
• Maurice Ndukwu PC
• MBJ Counseling PC
• Kevin McBride
• Noelle A McBride, RDN

• Psychologist in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.