Active NPI
Matthew Lawrence Craypo, COUNSELOR
- Mental Health Counselor
- Centralia, WA
National Provider Identifier
1508639824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 20311 Old Highway 9 SW
Centralia, WA 98531-9620 - Phone
- (360) 664-4641
- NPI assigned
- Oct 31, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
20311 Old Highway 9 SW
Centralia, WA 98531-9620
Mailing address
301 T St SW Apt B18
Tumwater, WA 98501-4579
Phone (253) 766-9658
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": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1508639824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 T ST SW APT B18",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985014579",
"telephone_number": "253-766-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20311 OLD HIGHWAY 9 SW",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319620",
"telephone_number": "360-664-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAYPO",
"first_name": "MATTHEW",
"middle_name": "LAWRENCE",
"credential": "COUNSELOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.