NPIMap

Organization Active NPI

Matthews Family Counseling-a Place to Grow Inc

  • Mental Health Counselor
  • Gardena, CA
National Provider Identifier
1386225563
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MATTHEWS FAMILY COUNSELING-A PLACE TO GROW INC
Practice address
740 W. 190TH St. Suite a
Gardena, CA 90248
Phone
(562) 306-2925
NPI assigned
Apr 19, 2021
Last updated
Aug 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Tiffany MatthewsNPI 1164889333
Title
Owner
Phone
(562) 306-2925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

740 W. 190TH St. Suite a
Gardena, CA 90248

Mailing address

740 W. 190TH St. Suite a
Gardena, CA 90248
Phone (562) 306-2925

Other practice location 1

740 W. 190th st. Suite A
Gardena, CA 90248
Phone (562) 306-2925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426002231 CA Part B Supplier - Clinic/Group Practice 7113367939 Receives reassigned benefits from 2 practitioners
Practice locations: Gardena, CA

National Provider Directory

National Provider Directory

Locations

740 W 190th St
Ste A
Gardena, CA 90248
Phone (562) 306-2925

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1386225563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W. 190TH ST. SUITE A",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90248",
            "telephone_number": "562-306-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W. 190TH ST. SUITE A",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90248",
            "telephone_number": "562-306-2925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 W. 190th st. Suite A",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "90248",
            "country_code": "US",
            "telephone_number": "562-306-2925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATTHEWS FAMILY COUNSELING-A PLACE TO GROW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-306-2925"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.