Individual provider Active NPI

Matthew Scott McKinney, LPC

  • Professional Counselor
  • Plano, TX
National Provider Identifier
1245669910
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64272 Issued in TX
Practice address
8105 Rasor Blvd Ste 103
Plano, TX 75024-0334
Phone
(972) 588-4007
NPI assigned
Nov 4, 2013
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 64272 TX Primary

Addresses

Primary practice location

8105 Rasor Blvd Ste 103
Plano, TX 75024-0334

Mailing address

5001 Baton Rouge Blvd
Frisco, TX 75035-5102
Phone (972) 586-4007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260304002784 TX Practitioner - Mental Health Counselor 6608358148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8105 Rasor Blvd
Suite 103
Plano, TX 75024-0334
Phone (972) 588-4007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64272TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey on Counseling Professional CurrentSince Jan 23, 2026 Accepting new patients

Locations

8105 Rasor Blvd
Ste 103
Plano, TX 75024
Phone (972) 588-4007

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1245669910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 BATON ROUGE BLVD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355102",
            "telephone_number": "972-586-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 RASOR BLVD STE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240334",
            "telephone_number": "972-588-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.