Matthew Andrew Rider Barclay, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC4564 Issued in MD

Practice address

13900 Laurel Lakes Ave
Suite 225
Laurel, MD 20707-5091

Phone

(301) 498-4500

Fax

(301) 498-4502

NPI assigned

Aug 3, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Prince George'S County Health Department

  • Public Health or Welfare Agency
  • Laurel, MD
  • NPI 1922406578
  NPD (past)

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1275889669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12107 LERNER PL",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152345",
            "telephone_number": "301-741-3464",
            "fax_number": "301-498-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 LAUREL LAKES AVE",
            "address_2": "SUITE 225",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075091",
            "telephone_number": "301-498-4500",
            "fax_number": "301-498-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLAY",
        "first_name": "MATTHEW",
        "middle_name": "ANDREW RIDER",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bao Health Group LLC
• Barbara a White MSN CRNP Inc
• Michelle Barbare, M.P.T.
• Mitchell A Barber, DPM
• Cheryl Patrice Barclay-Jackson
• Collin Bard, PTA
• Crystal L Barksdale, PHD, MPH
• Brittany Cherise Barnes, MA-CCC-SLP
• Lauren Ashley Baron, MD
• Emily Barrios, MD

• Professional Counselor in Laurel, MD
• Providers in Laurel, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.