Active NPI
Siobhan Matias
- Addiction (Substance Use Disorder) Counselor
- Trenton, NJ
National Provider Identifier
1114349727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 132 Perry St
Trenton, NJ 08618-3968 - Phone
- (609) 394-8988
- Fax
- (609) 394-0023
- NPI assigned
- Jan 16, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
132 Perry St
Trenton, NJ 08618-3968
Mailing address
132 Perry St
Trenton, NJ 08618-3968
Phone (609) 394-8988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0372331 | Medicaid | NJ | |
| 96503-01-04 | Other | NJ | N.J. DEPT HUMAN SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jkor, LLC | Past | Accepting new patients |
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.
-
- Counselor
- Bordentown, NJ
- NPI 1053853440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389830400000",
"number": "1114349727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 PERRY ST",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086183968",
"telephone_number": "609-394-8988",
"fax_number": "609-394-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 PERRY ST",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086183968",
"telephone_number": "609-394-8988",
"fax_number": "609-394-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIAS",
"first_name": "SIOBHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-16",
"last_updated": "2014-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0372331",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N.J. DEPT HUMAN SERVICES",
"identifier": "96503-01-04",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.