Javier Milton Matos, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

069411 Issued in NY

Practice address

6014 60TH St
Suite B
Maspeth, NY 11378-3410

Phone

(718) 366-6252

Fax

(718) 366-6253

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Javier Milton Matos Other name

Medicare fee-for-service enrollment

Enrolled in NY

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

State licenses

Practice roles

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.

• Uniting Hands Counseling & Consultation Services Javier Matos LCSW PC

  • Clinical Social Worker
  • Maspeth, NY
  • NPI 1821200999
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442707200000",
    "number": "1275559965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 60TH ST",
            "address_2": "SUITE B",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783410",
            "telephone_number": "718-386-8527",
            "fax_number": "718-821-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 60TH ST",
            "address_2": "SUITE B",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783410",
            "telephone_number": "718-366-6252",
            "fax_number": "718-366-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "JAVIER",
        "middle_name": "MILTON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "069411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02209263",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVIER",
            "last_name": "MATOS",
            "middle_name": "MILTON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maspeth Family Dental Group
• Maspeth Roura Medical Care PC
• Maspeth Senior Community LLC
• Jessica Mastromarino, LMSW
• Juliana Mathews
• Adele Mattone, COTA
• Nirmal K. Mattoo, MD
• Lori Matturro, DDS
• Stacie Matzelle, OTR/L, MS
• Dean Anthony Mauro, D.C.

• Mental Health Counselor in Maspeth, NY
• Providers in Maspeth, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; 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.