Individual provider Active NPI

Ryan Elizabeth Matschke, LMFT

  • Marriage & Family Therapist
  • Williamsburg, VA
National Provider Identifier
1396550620
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717002335 Issued in VA
Practice address
5000 New Point Rd Ste 3201
Williamsburg, VA 23188-9423
Phone
(757) 903-2253
NPI assigned
Feb 12, 2025
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717002335 VA Primary

Addresses

Primary practice location

5000 New Point Rd Ste 3201
Williamsburg, VA 23188-9423

Mailing address

105 Quill PL
Williamsburg, VA 23185-5689
Phone (757) 903-9415

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250411000943 VA Practitioner - Marriage and Family Therapist 6103340187 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Addiction Recovery Center of VirginiaGroup PAC ID 6406277268, 3 clinicians

Practice addresses (Care Compare)

5000 New Point Rd
Suite 3201
Williamsburg, VA 23188-9423
Phone (757) 645-3558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0717002335VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Recovery Center of Virginia CurrentSince Feb 7, 2025 Accepting new patients
Success in Mind of Virginia LLC CurrentSince Feb 7, 2025 Accepting new patients

Locations

5000 New Point Rd
Ste 3201
Williamsburg, VA 23188
Phone (757) 645-3558

5000 New Point Rd
Ste 3202
Williamsburg, VA 23188
Phone (757) 903-2253

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.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1396550620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 QUILL PL",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855689",
            "telephone_number": "757-903-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 NEW POINT RD STE 3201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231889423",
            "telephone_number": "757-903-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSCHKE",
        "first_name": "RYAN",
        "middle_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717002335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.