Matthew G Brandon, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2102457 Issued in OH

Practice address

1525 Corporate Woods Pkwy Ste 300
Uniontown, OH 44685-7883

Phone

(330) 915-2451

NPI assigned

Sep 20, 2018

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• LRJT Investments LLC

  dba Ellie Mental Health

  • Mental Health Counselor
  • Uniontown, OH
  • NPI 1457068702
  Medicare reassignment NPD
• BHC Fox Run Hospital Inc

  • Psychiatric Hospital
  • Saint Clairsville, OH
  • NPI 1992760334
  NPD (past)

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1245714823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 CORPORATE WOODS PKWY STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857883",
            "telephone_number": "330-915-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 CORPORATE WOODS PKWY STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857883",
            "telephone_number": "330-915-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "MATTHEW",
        "middle_name": "G",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-20",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162089",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2102457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lee Boylen, MOT, OTR/L
• Heather Brack
• Erin Nicole Bradley, BSN, RN
• Allyson Nicole Brahler, PA-C
• Kenneth J Braman Jr., DO
• Linda Gerda Brashear, MD
• Lynn Ellen Brewster
• Renee Brinker, PT
• Theresa Ann Brooks, R.N.
• Stephanie Broome

• Professional Counselor in Uniontown, OH
• Providers in Uniontown, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.