Active NPI
Matyas Joseph Koos, LPC, LCDC
- Professional Counselor
- Grapevine, TX
National Provider Identifier
1538537741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 71257
- Practice address
- 1701 W Northwest Hwy
Suite #100
Grapevine, TX 76051-8127 - Phone
- (817) 637-7176
- NPI assigned
- Sep 3, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11940 | TX | |
| Professional Counselor | 101YP2500X | 71257 | TX | Primary |
Addresses
Primary practice location
1701 W Northwest Hwy
Suite #100
Grapevine, TX 76051-8127
Mailing address
1701 W Northwest Hwy
Suite #100
Grapevine, TX 76051-8127
Phone (817) 637-7176
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 |
|---|---|---|---|
| 71257 | TX | MD | Professional Counselor |
| 11940 | TX | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1538537741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W NORTHWEST HWY",
"address_2": "SUITE #100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518127",
"telephone_number": "817-637-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W NORTHWEST HWY",
"address_2": "SUITE #100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518127",
"telephone_number": "817-637-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOS",
"first_name": "MATYAS",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LPC, LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "11940",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "71257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.