Individual provider Active NPI

Emmaline Sara Matthews, MFT

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1396816757
Registry record updated Dec 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
22587 Issued in CA
Practice address
370 Wheeler Ave
Reno, NV 89502-1614
Phone
(415) 830-0597
Fax
(650) 376-9883
NPI assigned
Nov 9, 2006
Last updated
Dec 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2024

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 22587 CA Primary

Addresses

Primary practice location

370 Wheeler Ave
Reno, NV 89502-1614

Mailing address

370 Wheeler Ave
Reno, NV 89502-1614
Phone (415) 830-0597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240220002419 CA Practitioner - Marriage and Family Therapist 6305280157 Practice locations: San Mateo, CA
I20260318000209 NV Practitioner - Marriage and Family Therapist 6305280157 Practice locations: Reno, NV

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

370 Wheeler Ave
Reno, NV 89502-1614
Phone (415) 830-0597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Pollock LCSW Past Accepting new patients

Organizations & group practices 1

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734134400000",
    "number": "1396816757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 WHEELER AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021614",
            "telephone_number": "415-830-0597",
            "fax_number": "650-376-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 WHEELER AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021614",
            "telephone_number": "415-830-0597",
            "fax_number": "650-376-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "EMMALINE",
        "middle_name": "SARA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "22587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.