Individual provider Active NPI

Vincent Paul Matule, M.S.W.

  • Mental Health Counselor
  • Helena, MT
National Provider Identifier
1275697120
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
145 Issued in MT
Practice address
25 S Ewing St
Suite # 204
Helena, MT 59601-5938
Phone
(406) 442-2914
Fax
(406) 442-4192
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 145 MT Primary

Addresses

Primary practice location

25 S Ewing St
Suite # 204
Helena, MT 59601-5938

Mailing address

25 S Ewing St
Suite # 204
Helena, MT 59601-5938
Phone (406) 442-2914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20051219000971 MT Practitioner - Clinical Social Worker 2365464310 Practice locations: Butte, MT; Helena, MT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 S Ewing
Helena, MT 59601-5732
Phone (406) 442-2914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
145MTMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275697120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S EWING ST",
            "address_2": "SUITE # 204",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596015938",
            "telephone_number": "406-442-2914",
            "fax_number": "406-442-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S EWING ST",
            "address_2": "SUITE # 204",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596015938",
            "telephone_number": "406-442-2914",
            "fax_number": "406-442-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATULE",
        "first_name": "VINCENT",
        "middle_name": "PAUL",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.