Individual provider Active NPI

Matthew Lance Garland, MA , CH, LPCI

  • Counselor
  • Charleston, SC
National Provider Identifier
1134398688
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2366 Ashley River Rd
Building #8
Charleston, SC 29414-4754
Phone
(843) 225-2024
Fax
(843) 225-2024
NPI assigned
Feb 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2366 Ashley River Rd
Building #8
Charleston, SC 29414-4754

Mailing address

2011 Green Park Ave
Charleston, SC 29414-6017
Phone (843) 766-6278

Other identifiers 1

IdentifierTypeStateIssuer
190166MedicaidSC

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1134398688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 GREEN PARK AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146017",
            "telephone_number": "843-766-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 ASHLEY RIVER RD",
            "address_2": "BUILDING #8",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294144754",
            "telephone_number": "843-225-2024",
            "fax_number": "843-225-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "MATTHEW",
        "middle_name": "LANCE",
        "credential": "MA , CH, LPCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190166",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.