Individual provider Active NPI

Matthew Nelson, MS

  • Marriage & Family Therapist
  • Pickerington, OH
National Provider Identifier
1396161154
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3356 Issued in MN
Practice address
12076 Twincreek Dr
Pickerington, OH 43147-9792
Phone
(614) 654-3976
NPI assigned
Mar 17, 2014
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3356MNMDMarriage & Family Therapist
MI0508NVMDMarriage & 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.

Verify at the official NPI Registry.