Edward Matovu, LMHC
Individual provider Active NPI Mental Health Counselor · Asbury, IA
NPI 1306356522 · NPPES record last updated Dec 8, 2023
Key facts
- NPI
- 1306356522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 111625 (IA)
- Practice address
- 3261 Brook Hollow Dr
Asbury, IA 52002-2347 - Phone
- (781) 308-7619
- NPI assigned
- Oct 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111625 | IA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 111625 | IA | Yes |
Addresses
Primary practice location
3261 Brook Hollow Dr
Asbury, IA 52002-2347
Mailing address
3261 Brook Hollow Dr
Asbury, IA 52002-2347
Phone (781) 308-7619
Other providers in Asbury, IA
- Susan Elaine Hoppenworth
- Ronda A Humpal
- Tara Jokiel
- Kelly Landphier
- Martin Luther Home Corporation
- Mental Health Solutions
- Dione Renee Miller
- Lisa Moore
- Claire M Nemmers
- Allison Prybil
All providers in Asbury, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.