Organization Active NPI

Matt Thompson Therapy PLLC

  • Clinical Social Worker
  • Muskegon, MI
National Provider Identifier
1194419416
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MATT THOMPSON THERAPY PLLC
Practice address
1576 Peck St
Muskegon, MI 49441-2547
Phone
(817) 891-4320
NPI assigned
Jun 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Mr. Matthew Prescott Thompson, LLMSWNPI 1851023147
Title
Owner
Phone
(817) 891-4320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1576 Peck St
Muskegon, MI 49441-2547

Mailing address

3233 Jefferson St
Muskegon Heights, MI 49444-2923
Phone (817) 891-4320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251216003282 MI Part B Supplier - Clinic/Group Practice 0345735445 Receives reassigned benefits from 1 practitioner
Practice locations: Muskegon, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1194419416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 JEFFERSON ST",
            "city": "MUSKEGON HEIGHTS",
            "state": "MI",
            "postal_code": "494442923",
            "telephone_number": "817-891-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 PECK ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494412547",
            "telephone_number": "817-891-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT THOMPSON THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PRESCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-891-4320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.