Individual provider Active NPI

Matthew Hiestand

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1295696326
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4287 W Pasadena Ave
Flint, MI 48504-2342
Phone
(303) 214-1126
NPI assigned
Nov 19, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4287 W Pasadena Ave
Flint, MI 48504-2342

Mailing address

2560 Business Pkwy Ste a
Minden, NV 89423-8961

Other practice location 1

190 W Empire Ave
Benton Harbor, MI 49022-7422
Phone (269) 325-5786

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rite of Passage, Inc. CurrentSince Nov 24, 2025 Accepting new patients

Locations

190 W Empire Ave
Benton Harbor, MI 49022
Phone (269) 325-5786

4287 W Pasadena Ave
Flint, MI 48504
Phone (303) 214-1126

2560 Business Pkwy
Ste A
Minden, NV 89423
Phone (775) 267-9411

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1295696326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 BUSINESS PKWY STE A",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894238961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4287 W PASADENA AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485042342",
            "telephone_number": "303-214-1126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 W Empire Ave",
            "address_purpose": "LOCATION",
            "city": "Benton Harbor",
            "state": "MI",
            "postal_code": "490227422",
            "country_code": "US",
            "telephone_number": "269-325-5786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIESTAND",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.