Tatiana Y. Matthews, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003359 Issued in GA

Practice address

1730 Mount Vernon Rd Ste G
Atlanta, GA 30338-4245

Phone

(707) 815-6853

NPI assigned

Aug 8, 2006

Last updated

Mar 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 23, 2024 through Jan 23, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• North View Counseling & Recovery, Inc.

  • Professional Counselor
  • Cumming, GA
  • NPI 1245374420
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1053321687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BALL CREEK WAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303504467",
            "telephone_number": "770-815-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 MOUNT VERNON RD STE G",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384245",
            "telephone_number": "707-815-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "TATIANA Y.",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "003359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "00359",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Monique Matthews, ATC
• Rebecca Ellen Matthews, M.D.
• Rebekah Matthews, PAA
• Rebekah Hough Matthews, PHARMD
• Roland P Matthews, MD
• Tucker Matthews, MD
• Martha Matthiessen, RN
• Debra Engelke Mattis, PAA
• Kalyn L Mattis VI
• Amanda Marie Mattison, PT

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.