Matthew P Morrissette, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-3444 Issued in ID

Practice address

943 W. Overland Rd.
Ste 126
Meridian, ID 83642-8600

Phone

(208) 926-2046

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Ascent Behavioral Health Services

  • Group Psychotherapy Psychologist
  • Meridian, ID
  • NPI 1285944546
  NPD (past)
• Ascent Behavioral Health Services

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1518036169

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1083776256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 W MCMILLAN RD STE 102-224",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132025",
            "telephone_number": "208-914-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 W. OVERLAND RD.",
            "address_2": "STE 126",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428600",
            "telephone_number": "208-926-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISSETTE",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-2797",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-3444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010157489",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "Q7362",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James H Morland, MD
• Carah Morris
• Chalmer Luke Morris, D.O.
• Patricia Morris
• Lisa L Morrison, DPT
• Emily Suzanne Mortensen, LCPC
• Jazzmin Morton
• Mosaic Chiropractic and Women'S Health PLLC
• Angie Moses, LMFT
• Stanley Warren Moss, M.D.

• All providers in Meridian, ID
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.