Matthew Thatcher, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101YMO800X Issued in IL

Practice address

333 W Western Ave Ste 5
Muskegon, MI 49440

Phone

(616) 202-2138

NPI assigned

Sep 20, 2011

Last updated

Feb 25, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bloom Behavioral Health Partners PLLCGroup PAC ID 3678959632, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bloom Behavioral Health Partners PLLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1174176366
  Medicare reassignment Care Compare group NPD Authorized official
• Aac on the Lakeshore, PLLC

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1821647488
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1285917997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 WEALTHY ST SE STE 242",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062755",
            "telephone_number": "616-202-2138",
            "fax_number": "616-228-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W WESTERN AVE STE 5",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49440",
            "telephone_number": "616-202-2138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 Wealthy St SE Ste 242",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495062755",
            "country_code": "US",
            "telephone_number": "616-202-2138",
            "fax_number": "616-228-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494171400",
            "country_code": "US",
            "telephone_number": "616-202-2138",
            "fax_number": "616-228-8990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2625 Butterfield Rd",
            "address_2": "Suite 138s",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605231234",
            "country_code": "US",
            "telephone_number": "630-528-3821",
            "fax_number": "630-528-3805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THATCHER",
        "first_name": "MATTHEW",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "101YMO800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "matt.thatcher@gmail.com",
            "affiliation": "N",
            "address_1": "333 W Western Ave Ste 5",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494401266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven John Tenelshof, MD
• Ryan Paul Terlouw, M.D.
• Kassandra Terrones
• Amanda Terry
• Justin Park Terry, DDS
• Dena W Thayer, D.O.
• The Agape Home Inc.
• The Arc Muskegon
• The Healing Village
• The Hope Project

• Mental Health Counselor in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.