Active NPI
Christine Lynn Matos
- Professional Counselor
- Junction City, KS
National Provider Identifier
1528842994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 04470
- Practice address
- 929 S Washington St
Junction City, KS 66441-3805 - Phone
- (785) 390-1599
- Fax
- (785) 390-0008
- NPI assigned
- Aug 24, 2023
- Last updated
- Aug 24, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 04470 | KS | Primary |
Addresses
Primary practice location
929 S Washington St
Junction City, KS 66441-3805
Mailing address
66361 Pinder PL Apt 1
Fort Riley, KS 66442-1329
Phone (719) 238-2728
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04470 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1528842994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66361 PINDER PL APT 1",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664421329",
"telephone_number": "719-238-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 S WASHINGTON ST",
"city": "JUNCTION CITY",
"state": "KS",
"postal_code": "664413805",
"telephone_number": "785-390-1599",
"fax_number": "785-390-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS",
"first_name": "CHRISTINE",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "04470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.