Life Reformation Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C3379 Issued in OR

Legal business name

LIFE REFORMATION COUNSELING

Practice address

1009 SE Edwards Dr
Dundee, OR 97115-9601

Phone

(971) 732-6614

NPI assigned

Dec 31, 2015

Organization subpart

No

Name

Luke C Matteucci, MS MA LPC NCC MACNPI 1396994927

Title

Counselor

Phone

(971) 732-6614

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luke Charles Matteucci, MS, MA, NCC, MAC

  • Professional Counselor
  • Newberg, OR
  • NPI 1396994927
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 31, 2015.

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1184089401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 SE EDWARDS DR",
            "city": "DUNDEE",
            "state": "OR",
            "postal_code": "971159601",
            "telephone_number": "971-732-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 SE EDWARDS DR",
            "city": "DUNDEE",
            "state": "OR",
            "postal_code": "971159601",
            "telephone_number": "971-732-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE REFORMATION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "MATTEUCCI",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "971-732-6614",
        "authorized_official_credential": "MS MA LPC NCC MAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "C3379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Holland, NBC-HWC
• Angela Humphrey, L.AC.
• Coryna Kerwin, LCSW
• Kindness Matters Mental Health
• Robin Kurtz, RN
• Rita Ann Ludwig-Cohen, D.C.
• Donald R. Olson, MD
• Alia Katherine Paquette, D.O.
• Mackenzie Parkinson, LMT
• Polly Rose Peterson

• All providers in Dundee, OR
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.