Active NPI
Nichole Mattix, QMHS 3YR CMS
- Community/Behavioral Health Agency
- Marion, OH
National Provider Identifier
1467094284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 1199 Delaware Avenue
Marion, OH 43302 - Phone
- (440) 260-8300
- NPI assigned
- Oct 14, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | OH | ||
| Community/Behavioral Health Agency | 251S00000X | OH | Primary |
Addresses
Primary practice location
1199 Delaware Avenue
Marion, OH 43302
Mailing address
434 Eastland Road
Berea, OH 44017
Phone (440) 234-2006
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1467094284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 EASTLAND ROAD",
"city": "BEREA",
"state": "OH",
"postal_code": "44017",
"telephone_number": "440-234-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 DELAWARE AVENUE",
"city": "MARION",
"state": "OH",
"postal_code": "43302",
"telephone_number": "440-260-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTIX",
"first_name": "NICHOLE",
"credential": "QMHS 3YR CMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.