Matthew Thomas Rupert, LPCC-S, LICDC-CS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.0701155-SUPV Issued in OH

Practice address

30 Overbrook Dr
Suite C
Monroe, OH 45050-3100

Phone

(513) 539-5250

Fax

(513) 539-5371

NPI assigned

Dec 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Addiction Outreach Clinic LTDGroup PAC ID 5294183893, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Addiction Outreach Clinic LTD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Boardman, OH
  • NPI 1356612261
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1154667137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 OVERBROOK DR",
            "address_2": "SUITE C",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450503100",
            "telephone_number": "513-539-5250",
            "fax_number": "513-539-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 OVERBROOK DR",
            "address_2": "SUITE C",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450503100",
            "telephone_number": "513-539-5250",
            "fax_number": "513-539-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPERT",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "LPCC-S, LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0701155-SUPV",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC.081029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Sue Pugh
• Kimberly Michelle Rhodus, MSW, LSW
• Richard S. Morgan, DDS, Inc.
• Cyndi Robinson
• Alexis Ruffin
• Kayi Giselle Sanvee, RN
• Sara Care Ohio LLC
• Antwane Yul Scott
• Teresa Lyn Slone, LPN
• Jordan Mackenzie Smith, PA

• Counselor in Monroe, OH
• Providers in Monroe, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.