Active NPI
Heather Matulewicz, LMHC
- Mental Health Counselor
- Peabody, MA
National Provider Identifier
1306183082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7303
- Practice address
- 243 Andover St
2ND Floor
Peabody, MA 01960-1521 - Phone
- (617) 880-9510
- NPI assigned
- Jan 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7303 | MA | Primary |
Addresses
Primary practice location
243 Andover St
2ND Floor
Peabody, MA 01960-1521
Mailing address
4 Grove St
Beverly, MA 01915-2204
Phone (617) 880-9510
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7303 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1306183082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 GROVE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019152204",
"telephone_number": "617-880-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 ANDOVER ST",
"address_2": "2ND FLOOR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601521",
"telephone_number": "617-880-9510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATULEWICZ",
"first_name": "HEATHER",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-14",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "7303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.