Active NPI
Matthew Michael Meyer, M.A. LPC-IT
- Counselor
- Shell Lake, WI
National Provider Identifier
1326428350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2528-226
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2528-226 | WI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar Services, Inc. | Current | Accepting new patients | |
| Turgeon Consulting | Mental Health | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shell Lake, WI
- NPI 1437571569
-
dba Superior Counseling Services
- Mental Health Counselor
- Ashland, WI
- NPI 1861675837
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.