Individual provider Active NPI

Matthew E Homstad, LPCC

  • Professional Counselor
  • Rochester, MN
National Provider Identifier
1134574064
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC01180 Issued in MN
Practice address
1811 Greenview PL SW
Suite 110
Rochester, MN 55902-1002
Phone
(507) 446-0431
Fax
(507) 446-8014
NPI assigned
Apr 28, 2016
Last updated
Apr 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC01180 MN Primary

Addresses

Primary practice location

1811 Greenview PL SW
Suite 110
Rochester, MN 55902-1002

Mailing address

PO Box 977
Owatonna, MN 55060-0977
Phone (507) 446-0431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20231129003280 IA Practitioner - Mental Health Counselor 1658729710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

321 8TH Ave W
Cresco, IA 52136-1064
Phone (563) 547-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC01180MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services of Howard County CurrentSince Apr 21, 2025 Accepting new patients
Northeast Iowa Mental Health Center CurrentSince Jan 1, 2024 Accepting new patients
Regional Health Services of Howard County CurrentSince Apr 21, 2025 Accepting new patients
Fernbrook Family Center Past Accepting new patients
United Community Services, Inc. PastSince Jan 1, 2024 Accepting new patients
Fernbrook Family Center, Inc Past Accepting new patients

Locations

235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101

905 Montgomery St
Decorah, IA 52101
Phone (563) 382-3649

36 S Frederick Ave
Oelwein, IA 50662
Phone (319) 283-5774

Organizations & group practices 6

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1134574064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 977",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550600977",
            "telephone_number": "507-446-0431",
            "fax_number": "507-446-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 GREENVIEW PL SW",
            "address_2": "SUITE 110",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021002",
            "telephone_number": "507-446-0431",
            "fax_number": "507-446-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMSTAD",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.