Active NPI
Matthew Anthony Liguori, LCDC
- Addiction (Substance Use Disorder) Counselor
- Granbury, TX
National Provider Identifier
1255834016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14048
- Practice address
- 1070 Quiet CV Apt 7200
Granbury, TX 76048-4427 - Phone
- (512) 665-1256
- NPI assigned
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14048 | TX | Primary |
Addresses
Primary practice location
1070 Quiet CV Apt 7200
Granbury, TX 76048-4427
Mailing address
1070 Quiet CV Apt 7200
Granbury, TX 76048-4427
Phone (512) 665-1256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YA0400 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14048 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1255834016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 QUIET CV APT 7200",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760484427",
"telephone_number": "512-665-1256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 QUIET CV APT 7200",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760484427",
"telephone_number": "512-665-1256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGUORI",
"first_name": "MATTHEW",
"middle_name": "ANTHONY",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-17",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "14048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YA0400",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.