Richard Oliver Matland, MSW, LISW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00457 Issued in IA

Practice address

601 Willow Ave
Council Bluffs, IA 51501-4242

Phone

(712) 323-1728

Fax

(712) 323-8888

NPI assigned

Aug 31, 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

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.

• The Willow Group, P.C.

  • Mental Health Counselor
  • Council Bluffs, IA
  • NPI 1528182896
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295847838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24589 INGRUM AVE",
            "city": "GLENWOOD",
            "state": "IA",
            "postal_code": "515346285",
            "telephone_number": "712-527-9373",
            "fax_number": "712-527-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WILLOW AVE",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515014242",
            "telephone_number": "712-323-1728",
            "fax_number": "712-323-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLAND",
        "first_name": "RICHARD",
        "middle_name": "OLIVER",
        "name_prefix": "Mr.",
        "credential": "MSW, LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary P Rock
• Janzie Mason
• Kelli Sue Matheny, BCBA
• Bonita Lee Mathiasen
• Jeffrey Bernard Mathiasen
• Rebecca Max
• Andrew Maxwell, M.D.
• Barbara Lynn Maxwell, LMSW
• Cody Maxwell
• Kristin M. Maxwell, PA-C

• Mental Health Counselor in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.