Active NPI
Matric Rhines
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1427406230
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Apr 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 6009 Financial PLZ # 105
Shreveport, LA 71129 - Phone
- (318) 670-8858
- NPI assigned
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
6009 Financial PLZ # 105
Shreveport, LA 71129
Mailing address
1301 Youree Dr
Shreveport, LA 71101-5117
Phone (318) 675-0804
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Services of Northwest Louisiana, LLC | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shreveport, LA
- NPI 1427137074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1427406230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711015117",
"telephone_number": "318-675-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6009 FINANCIAL PLZ # 105",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71129",
"telephone_number": "318-670-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHINES",
"first_name": "MATRIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-02",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- Milton Rhea, MD
- Rheumatology and Osteoporosis Specialists, AMC (Rheumatology and Osteoporosis Specialists Pharmacy)
- Rheumatology and Osteoporosis Specialists, AMC
- Crystal Rhine, LCSW
- Tamika Rhinehart
- Darlene Peterson Rhodes, MSW
- Debra S. Rhodes
- Ernest Lawrence Rhodes Jr., RPH
- Kathleen M Rhodes, LMFT, LPC
- Rachel Rhodes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.