Mahkal L Mathews, LCMHC-A, LCAS-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19034 Issued in NC

Practice address

106 W Church St Ste H
Creedmoor, NC 27522-9765

Phone

(919) 885-4046

Fax

(919) 477-1848

NPI assigned

Aug 30, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• First Step Community Services, LLC

  • Community/Behavioral Health Agency
  • Mebane, NC
  • NPI 1427452564
  Medicare reassignment Authorized official
• Pinnacle Community Foundation

  • Community/Behavioral Health Agency
  • Creedmoor, NC
  • NPI 1457008013

  Addiction (Substance Use Disorder)

  NPD (past)
• Pinnacle Counseling Services, PLLC

  • Professional Counselor
  • Creedmoor, NC
  • NPI 1255608840

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1306328091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73081",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277223081",
            "telephone_number": "919-885-4046",
            "fax_number": "919-477-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W CHURCH ST STE H",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275229765",
            "telephone_number": "919-885-4046",
            "fax_number": "919-477-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "MAHKAL",
        "middle_name": "L",
        "credential": "LCMHC-A, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-30",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-24330",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leah Mahoney, RN, MSN, FNP
• Alethea Samone Marcellus, MS, PSYCH, ACAS,ITFS
• Tammy Faith Margeson, LPCA, LCASA
• Kenneth Reid Marsh, DDS
• Keshawn S Mathews
• Telina Faye Mathews, MA, LPC
• Kacey McHoney
• Nisha Panjwani Mehta, OD
• Scott D. Mims, MSW,CCS,LCAS,LCSW
• Bonnie Barnett Murphy, LMFT

• Mental Health Counselor in Creedmoor, NC
• Providers in Creedmoor, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.