Individual provider Active NPI

Matthew Flinchum, LPC

  • Mental Health Counselor
  • Cedar Park, TX
National Provider Identifier
1205559663
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
84798 Issued in TX
Practice address
507 Denali Pass Ste 304
Cedar Park, TX 78613-7979
Phone
(512) 400-4321
NPI assigned
Sep 21, 2022
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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 84798 TX Primary

Addresses

Primary practice location

507 Denali Pass Ste 304
Cedar Park, TX 78613-7979

Mailing address

3000 Polar LN Ste 501
Cedar Park, TX 78613-3073

Other practice location 1

3000 Polar Ln Ste 501
Cedar Park, TX 78613-3073
Phone (512) 400-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
84798TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Counseling and Trauma Specialists, PLLC CurrentSince Sep 25, 2022 Accepting new patients
North Star Counseling and Trauma Specialists, PLLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

3000 Polar Ln
Ste 501
Cedar Park, TX 78613
Phone (512) 400-4321

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1205559663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 POLAR LN STE 501",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 DENALI PASS STE 304",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137979",
            "telephone_number": "512-400-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Polar Ln Ste 501",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786133073",
            "country_code": "US",
            "telephone_number": "512-400-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLINCHUM",
        "first_name": "MATTHEW",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.