Ricky Mattox

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

242014 Issued in KY

Practice address

425 N Maysville St
Mt Sterling, KY 40353-1050

Phone

(859) 497-0594

Fax

(859) 432-1025

NPI assigned

Oct 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Newsong Counseling Center Inc

  • Mental Health Counselor
  • Mt Sterling, KY
  • NPI 1053783589
  NPD (past)

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1407227952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N MAYSVILLE ST",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531050",
            "telephone_number": "859-497-0594",
            "fax_number": "859-432-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N MAYSVILLE ST",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531050",
            "telephone_number": "859-497-0594",
            "fax_number": "859-432-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "RICKY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-09",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "242014",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "242014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Martin
• Rhonda Lynn Martin, LICENSED OPTICIAN
• Aja Alisha Martinez
• Bryson Martinez
• Jess Marvin, PMHNP
• Kenna Maynard
• Tammy McCarty McCarty
• Luglenda McClain
• Angel McCormick, APRN
• Thomas K McCormick, M.D.

• Marriage & Family Therapist in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.