Individual provider Active NPI

Matthew D. Clayton, LSCSW, LCMFT

  • Clinical Social Worker
  • Topeka, KS
National Provider Identifier
1104954114
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4091 Issued in KS
Practice address
2000 SW Gage Blvd
Topeka, KS 66604-3340
Phone
(785) 272-0778
NPI assigned
Mar 1, 2007
Last updated
Sep 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4091 KS Primary
Marriage & Family Therapist 106H00000X LCMFT684 KS

Addresses

Primary practice location

2000 SW Gage Blvd
Topeka, KS 66604-3340

Mailing address

217 Kansas Ave
Holton, KS 66436-1538
Phone (785) 364-6561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20110916000322 KS Practitioner - Clinical Social Worker 5092986380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CFCC and Associates, Inc.Group PAC ID 1850446196, 13 clinicians

Practice addresses (Care Compare)

2000 SW Gage Blvd
Topeka, KS 66604-3340
Phone (785) 272-0778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4091KSMDClinical Social Worker
LCMFT684KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CFCC & Associates, Inc. Marriage & Family Therapist CurrentSince Nov 1, 2011 Accepting new patients
Kanza Mental Health and Guidance Center, Inc. Past Accepting new patients

Locations

2000 SW Gage Blvd
Topeka, KS 66604
Phone (888) 383-2322

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1104954114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 KANSAS AVE",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361538",
            "telephone_number": "785-364-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666043340",
            "telephone_number": "785-272-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "MATTHEW",
        "middle_name": "D.",
        "credential": "LSCSW, LCMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4091",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "LCMFT684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.