Individual provider Active NPI

Matthew Brittsan

  • Professional Counselor
  • Delaware, OH
National Provider Identifier
1518496751
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2001607 Issued in OH
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

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240103000800 OH Practitioner - Mental Health Counselor 0345690376 Reassigns benefits to 1 organization

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
Mid-Ohio Psychological Services, IncGroup PAC ID 3577585819, 12 clinicians

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

LicenseStateTypeSpecialty
E.2001607OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Psychological Services Inc CurrentSince Oct 23, 2023 Accepting new patients
Mid-Ohio Psychological Services Inc Mental Health PastSince Oct 5, 2021 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.

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

Verify at the official NPI Registry.