Individual provider Active NPI

Jodi Matos, LMFT

  • Marriage & Family Therapist
  • Virginia Beach, VA
National Provider Identifier
1245649730
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001320 Issued in VA
Practice address
281 Independence Blvd
Ste.321
Virginia Beach, VA 23462-2986
Phone
(757) 490-0377
Fax
(757) 497-1327
NPI assigned
Aug 8, 2014
Reactivated
Feb 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717001320 VA Primary

Addresses

Primary practice location

281 Independence Blvd
Ste.321
Virginia Beach, VA 23462-2986

Mailing address

281 Independence Blvd
Ste.321
Virginia Beach, VA 23462-2986
Phone (757) 490-0377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20251113000265 VA Practitioner - Marriage and Family Therapist 4688165145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr King-Jones and AssociatesGroup PAC ID 6406899251, 9 clinicians

Practice addresses (Care Compare)

1403 Greenbrier Pkwy
Suite 200
Chesapeake, VA 23320-2876
Phone (757) 436-2444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0717001320VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jodi Matos Counseling Services LLC Marriage & Family Therapist Current Accepting new patients
Dr King-Jones and Associates CurrentSince Aug 18, 2025 Accepting new patients

Locations

1403 Greenbrier Pkwy
Ste 200
Chesapeake, VA 23320
Phone (757) 436-2444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1245649730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 INDEPENDENCE BLVD",
            "address_2": "STE.321",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622986",
            "telephone_number": "757-490-0377",
            "fax_number": "757-497-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 INDEPENDENCE BLVD",
            "address_2": "STE.321",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622986",
            "telephone_number": "757-490-0377",
            "fax_number": "757-497-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "JODI",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "deactivation_date": "2021-01-29",
        "reactivation_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.