Individual provider Active NPI

Ingrid Walker Matthews, LCADC (MARYLAND)

  • Addiction (Substance Use Disorder) Counselor
  • Frederick, MD
National Provider Identifier
1194273177
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCA 1913 Issued in MD
Practice address
141 W Patrick St Ste 205
Frederick, MD 21701-5959
Phone
(240) 626-1692
Fax
(304) 724-8955
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA 1913 MD Primary

Addresses

Primary practice location

141 W Patrick St Ste 205
Frederick, MD 21701-5959

Mailing address

141 W Patrick St Ste 205
Frederick, MD 21701-5959
Phone (240) 626-1692

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

State licenses

LicenseStateTypeSpecialty
LCA 1913MDMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1194273177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W PATRICK ST STE 205",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015959",
            "telephone_number": "240-626-1692",
            "fax_number": "304-724-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W PATRICK ST STE 205",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015959",
            "telephone_number": "240-626-1692",
            "fax_number": "304-724-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "INGRID",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "credential": "LCADC (MARYLAND)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA 1913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.