Individual provider Active NPI

Matthew Stevens, LPC

  • Professional Counselor
  • Woodbridge, VA
National Provider Identifier
1093160129
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008104 Issued in VA
Practice address
6017 Fox Haven CT
Woodbridge, VA 22193-4008
Phone
(571) 330-2925
NPI assigned
Apr 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008104 VA Primary

Addresses

Primary practice location

6017 Fox Haven CT
Woodbridge, VA 22193-4008

Mailing address

6017 Fox Haven CT
Woodbridge, VA 22193-4008
Phone (703) 672-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA, FL, PA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240717001134 MA Practitioner - Mental Health Counselor 9537604335 Reassigns benefits to 1 organization
I20241022004164 VA Practitioner - Mental Health Counselor 9537604335 Reassigns benefits to 1 organization
I20250226003189 FL Practitioner - Mental Health Counselor 9537604335 Reassigns benefits to 1 organization
I20251229000190 PA Practitioner - Mental Health Counselor 9537604335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

90 Canal St
Suite 4
Boston, MA 02114-2022
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Jul 2, 2024 Accepting new patients
Sondermind, P.a. CurrentSince Nov 16, 2025 Accepting new patients
Renewing Hearts Family Counseling, LLC Past Accepting new patients

Locations

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

999 Waterside Dr
Ste 2600
Norfolk, VA 23510
Phone (202) 766-7689

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1093160129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 FOX HAVEN CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934008",
            "telephone_number": "703-672-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6017 FOX HAVEN CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934008",
            "telephone_number": "571-330-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.