Individual provider Active NPI

Teresa Flanagan Matre', MSW, LMFT

  • Marriage & Family Therapist
  • Waynesville, NC
National Provider Identifier
1124390984
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1390 Issued in NC
Practice address
28 Walnut St
Suite #6
Waynesville, NC 28786-3245
Phone
(828) 400-5538
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1390 NC Primary

Addresses

Primary practice location

28 Walnut St
Suite #6
Waynesville, NC 28786-3245

Mailing address

7171 Woodland Ave
Apt. 211
West Des Moines, IA 50266-7208
Phone (847) 975-5269

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1390NCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1124390984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 WOODLAND AVE",
            "address_2": "APT. 211",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667208",
            "telephone_number": "847-975-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WALNUT ST",
            "address_2": "SUITE #6",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863245",
            "telephone_number": "828-400-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATRE'",
        "first_name": "TERESA",
        "middle_name": "FLANAGAN",
        "credential": "MSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.