Matthew James Macchioni, LPC-A, LCAS-A, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A14986 Issued in NC

Practice address

602 Wyndham Dr
Fuquay Varina, NC 27526-7780

Phone

(252) 375-9481

NPI assigned

Dec 28, 2019

Last updated

Sep 30, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kristen Wynns, PH.D., PLLC Dba Wynns Family Psychology

  dba Wynns Family Psychology

  • Clinical Psychologist
  • Cary, NC
  • NPI 1427848910
  NPD (past)

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

{
    "created_epoch": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1194364828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 WYNDHAM DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267780",
            "telephone_number": "252-375-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 WYNDHAM DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267780",
            "telephone_number": "252-375-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCHIONI",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "LPC-A, LCAS-A, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-28",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14986",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-24979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adolfo Lunardi
• Aylanah Lundy
• Melanie Lunn
• Kristal Gale Lyons
• M & K Health Services
• Rachel Leigh Macko, LCSW
• Ellen Marie Macri
• Alexis Mady, DDS
• Magnolia Behavioral Health, PLLC (Magnolia Psychiatry and Mental Wellness)
• Daniel John Mahar, DDS

• Professional Counselor in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.