Organization Active NPI

Matt Groth Counseling PLLC

  • Adult Mental Health Clinic/Center
  • San Angelo, TX
National Provider Identifier
1205500097
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MATT GROTH COUNSELING PLLC
Practice address
1 N Milton St Ste 6
San Angelo, TX 76901-3261
Phone
(325) 617-2997
NPI assigned
Aug 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Matthew Groth, LPCNPI 1184203234
Title
Managing Sole Member
Phone
(325) 617-2997

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1 N Milton St Ste 6
San Angelo, TX 76901-3261

Mailing address

1 N Milton St Ste 6
San Angelo, TX 76901-3261
Phone (325) 617-2997

National Provider Directory

National Provider Directory

Locations

1 N Milton St
Ste 6
San Angelo, TX 76901
Phone (325) 340-6839

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": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1205500097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MILTON ST STE 6",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013261",
            "telephone_number": "325-617-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MILTON ST STE 6",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013261",
            "telephone_number": "325-617-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT GROTH COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "GROTH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING SOLE MEMBER",
        "authorized_official_telephone_number": "325-617-2997",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

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