Individual provider Active NPI

Pierre A. Matta, MA, LMFT

  • Marriage & Family Therapist
  • Houston, TX
National Provider Identifier
1043414006
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
200901 Issued in TX
Practice address
4950 Memorial Dr
Houston, TX 77007-7440
Phone
(713) 558-3934
Fax
(713) 802-3880
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 200901 TX Primary

Addresses

Primary practice location

4950 Memorial Dr
Houston, TX 77007-7440

Mailing address

4950 Memorial Dr
Houston, TX 77007-7440
Phone (713) 558-3934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231214002561 TX Practitioner - Marriage and Family Therapist 6103275292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Service Center at Houston and Harris CountyGroup PAC ID 6608844808, 7 clinicians

Practice addresses (Care Compare)

1300 Bay Area Blvd
Houston, TX 77058-2505
Phone (713) 861-4849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
200901TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Center at Houston and Harris County CurrentSince Jan 1, 2024 Accepting new patients

Locations

4950 Memorial Dr
Houston, TX 77007
Phone (713) 730-2335

1300 Bay Area Blvd
#240A
Houston, TX 77058
Phone (713) 861-4849

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043414006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770077440",
            "telephone_number": "713-558-3934",
            "fax_number": "713-802-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770077440",
            "telephone_number": "713-558-3934",
            "fax_number": "713-802-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA",
        "first_name": "PIERRE",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "200901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.