Individual provider Active NPI

Matthew Michael Meyer, M.A. LPC-IT

  • Counselor
  • Shell Lake, WI
National Provider Identifier
1326428350
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2528-226 Issued in WI
Practice address
600 E County Hwy B
Shell Lake, WI 54871-8754
Phone
(715) 468-2841
NPI assigned
Jun 4, 2015
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2528-226 WI Primary

Addresses

Primary practice location

600 E County Hwy B
Shell Lake, WI 54871-8754

Mailing address

PO Box 265
Shell Lake, WI 54871-0265
Phone (154) 682-8417

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL admin@soarservices.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20240611001123 WI Practitioner - Mental Health Counselor 1951843507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soar Services IncGroup PAC ID 6406398163, 10 clinicians

Practice addresses (Care Compare)

600 E County Hwy B
Shell Lake, WI 54871
Phone (715) 468-2841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2528-226WIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Soar Services, Inc. CurrentSince Mar 27, 2024 Accepting new patients
Turgeon Consulting Mental Health PastSince Dec 18, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1326428350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "SHELL LAKE",
            "state": "WI",
            "postal_code": "548710265",
            "telephone_number": "154-682-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E COUNTY HWY B",
            "city": "SHELL LAKE",
            "state": "WI",
            "postal_code": "548718754",
            "telephone_number": "715-468-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "credential": "M.A. LPC-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "2528-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@soarservices.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "admin@soarservices.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "simplepractice.com",
            "address_1": "600 E County Hwy B",
            "city": "Shell Lake",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548718754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shell Lake, WI

Sources for this page

Verify at the official NPI Registry.