Active NPI
Eric Mata, LSW, LCDCIII
- Addiction (Substance Use Disorder) Counselor
- Springfield, OH
National Provider Identifier
1083418511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCDCIII.161754
- Practice address
- 106 E. Main St.
Springfield, OH 45502 - Phone
- (937) 284-0744
- NPI assigned
- Apr 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDCIII.161754 | OH | Primary |
Addresses
Primary practice location
106 E. Main St.
Springfield, OH 45502
Mailing address
106 E. Main St.
Springfield, OH 45502
Phone (937) 284-0744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDCIII.161754 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1083418511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 E. MAIN ST.",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45502",
"telephone_number": "937-284-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 E. MAIN ST.",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45502",
"telephone_number": "937-284-0744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATA",
"first_name": "ERIC",
"credential": "LSW, LCDCIII",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-03",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LCDCIII.161754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.