Coleman Edward Matthews, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P0805038 Issued in AR

Practice address

1371 Highway 278 W
Monticello, AR 71655-9663

Phone

(870) 367-2143

Fax

(870) 367-2145

NPI assigned

Aug 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Arkansas Regional Health CenterGroup PAC ID 0941199988, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• South Arkansas Regional Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Dorado, AR
  • NPI 1467423384
  Medicare reassignment Care Compare group NPD
• South Arkansas Regional Health Center

  • Primary Care Clinic/Center
  • El Dorado, AR
  • NPI 1518623073
  NPD
• Dayspring Services of Arkansas LLC

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1184847394
  NPD (past)

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1366690513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 BLEAUX AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620737",
            "telephone_number": "479-872-5580",
            "fax_number": "479-872-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 HIGHWAY 278 W",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559663",
            "telephone_number": "870-367-2143",
            "fax_number": "870-367-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "COLEMAN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "P0805038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tolmeia Maize
• Matthew Malone
• Tressa Carol Martens, OTRL
• Daleshia Martin
• Yulanda Martin
• Sheila Maxwell, PT
• Ginger Marie Maynard, LPN
• Brittany McCcrory
• Paige McCook, APRN
• Lori McCoy, PTA

• Counselor in Monticello, AR
• Providers in Monticello, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.