Individual provider Active NPI

James Kip Matthews, PH.D.

  • Counseling Psychologist
  • Athens, GA
National Provider Identifier
1245278191
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY002290 Issued in GA
Practice address
191 E Broad St
Suite 314
Athens, GA 30601-2847
Phone
(706) 613-5290
Fax
(706) 613-5291
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY002290 GA Primary

Addresses

Primary practice location

191 E Broad St
Suite 314
Athens, GA 30601-2847

Mailing address

191 E Broad St
Suite 314
Athens, GA 30601-2847
Phone (706) 613-5290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 27, 2021 through Jul 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY002290GAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ak Counseling & Consulting, Inc. Counseling Past Accepting new patients

Organizations & group practices 1

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245278191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E BROAD ST",
            "address_2": "SUITE 314",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012847",
            "telephone_number": "706-613-5290",
            "fax_number": "706-613-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E BROAD ST",
            "address_2": "SUITE 314",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012847",
            "telephone_number": "706-613-5290",
            "fax_number": "706-613-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JAMES",
        "middle_name": "KIP",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY002290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.