Individual provider Active NPI

Matthew Maurice Gowder

  • Addiction (Substance Use Disorder) Counselor
  • Chicago, IL
National Provider Identifier
1255206983
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37752 Issued in IL
Practice address
4400 S Calumet Ave Apt 3N
Chicago, IL 60653-3869
Phone
(773) 780-9862
Fax
(773) 780-9862
NPI assigned
Oct 10, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 37752 IL Primary

Addresses

Primary practice location

4400 S Calumet Ave Apt 3N
Chicago, IL 60653-3869

Mailing address

4400 S Calumet Ave Apt 3N
Chicago, IL 60653-3869
Phone (773) 780-9862

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

LicenseStateTypeSpecialty
37752ILMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1255206983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S CALUMET AVE APT 3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533869",
            "telephone_number": "773-780-9862",
            "fax_number": "773-780-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S CALUMET AVE APT 3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533869",
            "telephone_number": "773-780-9862",
            "fax_number": "773-780-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWDER",
        "first_name": "MATTHEW",
        "middle_name": "MAURICE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "37752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.