Active NPI
Matthew Brittsan
- Professional Counselor
- Delaware, OH
National Provider Identifier
1518496751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2001607
- Practice address
- 106 Stover Dr
Delaware, OH 43015-8601 - Phone
- (740) 417-9265
- NPI assigned
- Jun 10, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2001607 | OH | Primary |
Addresses
Primary practice location
106 Stover Dr
Delaware, OH 43015-8601
Mailing address
171 White Elm Dr
Delaware, OH 43015-3451
Phone (614) 205-5058
Other names 1
- Matt Brittsan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Starret St
Suite 100
Lancaster, OH 43130-3993
Phone (740) 687-0042
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2001607 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Ohio Psychological Services Inc | Current | Accepting new patients | |
| Mid-Ohio Psychological Services Inc | Mental Health | Past | Accepting new patients |
Locations
106 Stover Dr
#A
Delaware, OH 43015
106 Starret St
Ste 100
Lancaster, OH 43130
Phone (740) 687-0042
Organizations & group practices 2
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.
-
- Counselor
- Lancaster, OH
- NPI 1699749457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1518496751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 WHITE ELM DR",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430153451",
"telephone_number": "614-205-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 STOVER DR",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430158601",
"telephone_number": "740-417-9265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITTSAN",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-10",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2001607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MATT",
"last_name": "BRITTSAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Delaware, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.