Warren Eugene Matthias, LAC, CAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

86000041A Issued in IN

Practice address

2325 Q St
Bedford, IN 47421-4718

Phone

(812) 279-4673

NPI assigned

Aug 25, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1497061741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 'Q' ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474212803",
            "telephone_number": "812-279-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 Q ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214718",
            "telephone_number": "812-279-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIAS",
        "first_name": "WARREN",
        "middle_name": "EUGENE",
        "credential": "LAC, CAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "86000041A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Mason, FNP-C
• Leana Michelle Massimini, M.A., CCC-SLP
• Alexander Mathew, MD
• Carl Matlock, MD
• Rebecca Matlock, RBT
• Katherine A McCalla-Gilliatt, NP
• Nathan Alan McClain, O.D.
• Christy McCullough
• Lindsey Nicole McDaniel, PHARMD
• Lacey McDonald

• Addiction (Substance Use Disorder) Counselor in Bedford, IN
• Providers in Bedford, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.