Active NPI
Beth Matenaer, M.A., LPC
- Counselor
- Mt Pleasant, SC
National Provider Identifier
1427374115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5136
- Practice address
- 1060 Cliffwood Dr Ste a
Mt Pleasant, SC 29464-3687 - Phone
- (843) 696-6127
- Fax
- (843) 278-7769
- NPI assigned
- Apr 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 5136 | SC | Primary |
Addresses
Primary practice location
1060 Cliffwood Dr Ste a
Mt Pleasant, SC 29464-3687
Mailing address
3559 Rookwood PL
Johns Island, SC 29455-8184
Phone (843) 696-6127
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5136 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1427374115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3559 ROOKWOOD PL",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294558184",
"telephone_number": "843-696-6127",
"fax_number": "843-278-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 CLIFFWOOD DR STE A",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643687",
"telephone_number": "843-696-6127",
"fax_number": "843-278-7769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATENAER",
"first_name": "BETH",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SC",
"license": "5136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.