Matthew Evans-Spates, M.A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH22168 Issued in FL

Practice address

161 S Boyd St Ste 100
Winter Garden, FL 34787-3574

Phone

(407) 392-2828

NPI assigned

Feb 10, 2022

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Integro Counseling, LLC

  • Mental Health Counselor
  • Winter Garden, FL
  • NPI 1700538014
  NPD

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1508510264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 S BOYD ST STE 100",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873574",
            "telephone_number": "407-392-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 S BOYD ST STE 100",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873574",
            "telephone_number": "407-392-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS-SPATES",
        "first_name": "MATTHEW",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH22168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adabel Escano
• Dona Escobar Payares
• Jacqueline Espinoza Ramirez
• Saul Felipe Estrada-Vazquez, M.D.
• Evans Family Psychiatry Inc
• Brianna Jamila Evans
• Justin Evans
• Rowena Evans, LCSW
• Eventura LLC
• Kristine R Everding, MD

• Mental Health Counselor in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.