Matthew R Thames, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1119 Issued in MS

Practice address

2508 Lakeland Dr
Suite 200
Flowood, MS 39232-9502

Phone

(601) 664-0455

Fax

(601) 664-1675

NPI assigned

May 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Providence Counseling Service, LLC

  • Professional Counselor
  • Flowood, MS
  • NPI 1912194903
  NPD (past)
• The Shepherd's Staff

  • Counselor
  • Flowood, MS
  • NPI 1679768287
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083821326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 POST RD",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563839",
            "telephone_number": "601-750-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 LAKELAND DR",
            "address_2": "SUITE 200",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329502",
            "telephone_number": "601-664-0455",
            "fax_number": "601-664-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMES",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malcolm P Taylor, M.D.
• Margaret R Taylor, NP
• Tech Med Supply
• David M Temple, MD
• Derrick H. Tesseneer, M.D.
• The Growing Tree, LLC
• The Hearing Center of Jackson
• The Heart Clinic, LLC
• The Hull Clinic of Gynecology
• The River Wellness LLC

• Professional Counselor in Flowood, MS
• Providers in Flowood, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.