Active NPI
Matthews Counseling & Supervision
- Addiction (Substance Use Disorder) Counselor
- Richmond, VA
National Provider Identifier
1407542475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- MATTHEWS COUNSELING & SUPERVISION
- Practice address
- 5821 Staples Mill Rd
Richmond, VA 23228-5427 - Phone
- (804) 264-0966
- Fax
- (804) 264-1029
- NPI assigned
- Apr 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tawana Taylor
- Title
- Account Manager
- Phone
- (804) 250-8203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
5821 Staples Mill Rd
Richmond, VA 23228-5427
Mailing address
5821 Staples Mill Rd
Richmond, VA 23228-5427
Phone (804) 264-0966
Other names 1
- Henry M Matthews Jr
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694476800000",
"number": "1407542475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5821 STAPLES MILL RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232285427",
"telephone_number": "804-264-0966",
"fax_number": "804-264-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5821 STAPLES MILL RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232285427",
"telephone_number": "804-264-0966",
"fax_number": "804-264-1029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEWS COUNSELING & SUPERVISION",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-13",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "TAWANA",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "804-250-8203"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Henry M Matthews Jr",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.