Individual provider Active NPI

Calvin O Matthews, PH.D.

  • Professional Counselor
  • Huntsville, AL
National Provider Identifier
1093879595
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC01467 Issued in AL
Practice address
936 Jeff Rd NW
Huntsville, AL 35806-1238
Phone
(256) 837-2127
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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 LPC01467 AL Primary

Addresses

Primary practice location

936 Jeff Rd NW
Huntsville, AL 35806-1238

Mailing address

PO Box 11791
Huntsville, AL 35814-1791
Phone (256) 837-2127

Other identifiers 1

IdentifierTypeStateIssuer
51033906MATOtherALBLUE CROSS&BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240813003103 AL Practitioner - Mental Health Counselor 0345788071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Counseling AssociatesGroup PAC ID 1052503141, 4 clinicians

Practice addresses (Care Compare)

936 Jeff Rd NW
Huntsville, AL 35806-1238
Phone (256) 837-2127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Counseling Associates Psychologist CurrentSince May 10, 2024 Accepting new patients

Locations

936 Jeff Rd NW
Huntsville, AL 35806
Phone (256) 837-2127

Organizations & group practices 1

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1093879595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11791",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358141791",
            "telephone_number": "256-837-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 JEFF RD NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358061238",
            "telephone_number": "256-837-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "CALVIN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC01467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS&BLUE SHIELD",
            "identifier": "51033906MAT",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.