Active NPI
Matthew Cullen Lewis, LPCA, NCC
- Professional Counselor
- Winston Salem, NC
National Provider Identifier
1225426968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A11147
- Practice address
- 7670 N Point CT
Winston Salem, NC 27106-3336 - Phone
- (704) 366-8712
- NPI assigned
- Jan 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A11147 | NC | Primary |
Addresses
Primary practice location
7670 N Point CT
Winston Salem, NC 27106-3336
Mailing address
6220 Thermal Rd
Charlotte, NC 28211-5630
Phone (704) 366-8712
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
| License | State | Type | Specialty |
|---|---|---|---|
| A11147 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1225426968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 THERMAL RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282115630",
"telephone_number": "704-366-8712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7670 N POINT CT",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063336",
"telephone_number": "704-366-8712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MATTHEW",
"middle_name": "CULLEN",
"credential": "LPCA, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-05",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A11147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
- Kathy Lee Lewis, NP
- Kristie Miller Lewis, RNC, NNP
- Kristina Henderson Lewis, MD MPH SM
- Margery R Lewis, D.M.D
- Matthew Lewis, PT
- Michele Olivia Lewis, FNP
- Thomas Vernon Lewis
- Zachary Thompson Lewis, MD
- Lexmedical, Inc. (Women's Center of North Davidson)
- Lexmedical, Inc. (North Davidson Center for Family Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.