Matthew E Homstad, LPCC
Individual provider Active NPI Professional Counselor · Rochester, MN
NPI 1134574064 · NPPES record last updated Apr 28, 2016
Key facts
- NPI
- 1134574064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CC01180 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Health Services of Howard County
Practice addresses (Care Compare)
321 8TH Ave W
Cresco, IA 52136-1064
Phone (563) 547-2021
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231129003280 | IA | Practitioner - Mental Health Counselor | 1658729710 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC01180 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Iowa Mental Health Center | Current |
Accepting new patients | |
| Regional Health Services of Howard County | Current |
Accepting new patients | |
| Regional Health Services of Howard County | Current |
Accepting new patients | |
| United Community Services, Inc. | Past |
Accepting new patients | |
| Fernbrook Family Center | Past | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC01180 | MN | Yes |
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
Other providers in Rochester, MN
- Homestead at Rochester, Inc.
- James L Homme
- Jason H Homme
- Philip Hommerding
- Zachary Bruce Homontowski
- David Wilson Honda
- Hyojung Hong
- Joon H Hong
- Hanna Christine Honn
- Honor Dental PLLC
All providers in Rochester, MN · Professional Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.