Mat F. Nyquist, MS LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C 3826 Issued in OR

Practice address

388 State St # 710
Salem, OR 97301

Phone

(503) 507-5961

Fax

(503) 339-1972

NPI assigned

Jan 29, 2009

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

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Salem Psychiatric Associates, P.C.

  • Psychiatry Physician
  • Salem, OR
  • NPI 1619061314

  Mental Health

  Medicare reassignment NPD
• Salem Psychiatric Associates PC

  • Clinical Social Worker
  • Salem, OR
  • NPI 1912121526

  Mental Health

  NPD

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1205074176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 CHILDS AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017471",
            "telephone_number": "503-507-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 STATE ST # 710",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-507-5961",
            "fax_number": "503-339-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYQUIST",
        "first_name": "MAT",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-29",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C 3826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NW Oregon Medical and a Wheelchair Transport
• Nwcare Inc
• Moreen Jeanette Nye, FNP
• Karen Nygren, RN
• Nduta Nyoro-Cayton
• Meghan Elizabeth O'Brien, MD
• Cari M. O'Connor, LCSW
• Dawn Alison O'Connor, F.N.P.
• Julie Marie O'Connor, LCSW
• Rosanne O'Connor, MSW, LCSW

• Professional Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.