Individual provider Active NPI

John Matsen, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1194429530
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009512 Issued in NY
Practice address
2233 Nostrand Ave Ste 3
Brooklyn, NY 11210-3029
Phone
(646) 819-3390
NPI assigned
Mar 29, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 009512 NY Primary

Addresses

Primary practice location

2233 Nostrand Ave Ste 3
Brooklyn, NY 11210-3029

Mailing address

2233 Nostrand Ave Ste 3
Brooklyn, NY 11210-3029
Phone (646) 819-3390

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250507001692 NY Practitioner - Mental Health Counselor 3678090263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009512NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children'S Services, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Jewish Board of Family & Childrens Services Inc Current Accepting new patients

Locations

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1194429530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 NOSTRAND AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103029",
            "telephone_number": "646-819-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 NOSTRAND AVE STE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103029",
            "telephone_number": "646-819-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSEN",
        "first_name": "JOHN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.