Robert Donnell Matthews, LCPC, NCC, BCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC3617 Issued in MD

Practice address

6115 Falls Rd
Suite LL-B
Baltimore, MD 21209-2219

Phone

(410) 635-4252

Fax

(410) 377-5530

NPI assigned

Oct 2, 2008

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1083865687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 PLAINFIELD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062722",
            "telephone_number": "443-794-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 FALLS RD",
            "address_2": "SUITE LL-B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092219",
            "telephone_number": "410-635-4252",
            "fax_number": "410-377-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ROBERT",
        "middle_name": "DONNELL",
        "credential": "LCPC, NCC, BCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-02",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038738000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jelisa Matthews, LMSW
• Joanna Matthews
• Kirby H Matthews, MS, CCC-SLP
• Lamar Bey Matthews, LMT
• Leslie S. Matthews, M.D.
• Samantha Matthews
• Shevonne Yvette Matthews, LCSW-C
• Susan Ruth Matthews, RN, BSN, CCM
• Tiona Matthews
• Mabel Matthias, CRNP

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.