Active NPI
Matthew Shepherd Lamb, LMHC-P
- Mental Health Counselor
- Juneau, AK
National Provider Identifier
1104463629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 201662
- Practice address
- 8585 Old Dairy Rd Ste 203
Juneau, AK 99801-8094 - Phone
- (585) 729-3000
- NPI assigned
- Dec 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 201662 | AK | Primary |
Addresses
Primary practice location
8585 Old Dairy Rd Ste 203
Juneau, AK 99801-8094
Mailing address
PO Box 34223
Juneau, AK 99803-4223
Phone (585) 729-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104463629 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3240 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8435
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villa of Hope | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Juneau, AK
- NPI 1154331734
-
- Voluntary or Charitable Agency
- Rochester, NY
- NPI 1578640298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1104463629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34223",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998034223",
"telephone_number": "585-729-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8585 OLD DAIRY RD STE 203",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998018094",
"telephone_number": "585-729-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMB",
"first_name": "MATTHEW",
"middle_name": "SHEPHERD",
"name_prefix": "Mr.",
"credential": "LMHC-P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-03",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AK",
"license": "201662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104463629",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.