Active NPI
Matthew Nelson, MS
- Marriage & Family Therapist
- Pickerington, OH
National Provider Identifier
1396161154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3356
- Practice address
- 12076 Twincreek Dr
Pickerington, OH 43147-9792 - Phone
- (614) 654-3976
- NPI assigned
- Mar 17, 2014
- Last updated
- Sep 23, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3356 | MN | Primary |
| Marriage & Family Therapist | 106H00000X | MF001779 | PA | |
| Marriage & Family Therapist | 106H00000X | 206940 | KY | |
| Marriage & Family Therapist | 106H00000X | 0717002407 | VA | |
| Marriage & Family Therapist | 106H00000X | 2025039174 | MO | |
| Marriage & Family Therapist | 106H00000X | 48 | WV | |
| Marriage & Family Therapist | 106H00000X | F.2200309-SUPV | OH |
Addresses
Primary practice location
12076 Twincreek Dr
Pickerington, OH 43147-9792
Mailing address
12076 Twincreek Dr
Pickerington, OH 43147-9792
Phone (614) 654-3976
Other practice location 1
4431 Marketing Pl
Groveport, OH 43125-9556
Phone (612) 271-2408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3356 | MN | MD | Marriage & Family Therapist |
| MI0508 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1396161154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12076 TWINCREEK DR",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431479792",
"telephone_number": "614-654-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12076 TWINCREEK DR",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431479792",
"telephone_number": "614-654-3976"
}
],
"practiceLocations": [
{
"address_1": "4431 Marketing Pl",
"address_purpose": "LOCATION",
"city": "Groveport",
"state": "OH",
"postal_code": "431259556",
"country_code": "US",
"telephone_number": "612-271-2408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "MATTHEW",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-17",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3356",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF001779",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KY",
"license": "206940",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717002407",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MO",
"license": "2025039174",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WV",
"license": "48",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F.2200309-SUPV",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.