Matthew Joseph Vicario, CMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5170621-6004 Issued in UT

Practice address

4055 S 700 E Ste 204
Salt Lake City, UT 84107-2504

Phone

(801) 946-2323

NPI assigned

Nov 11, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Cottonwood Center for Counseling

  dba Family Abuse Center for Treatment

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salt Lake City, UT
  • NPI 1396235156
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1548561277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 S WOODDUCK LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174935",
            "telephone_number": "801-946-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 S 700 E STE 204",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072504",
            "telephone_number": "801-946-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICARIO",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "5170621-6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235447772",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Vezeau, RN
• Daniel Pierre Vezina, MD
• Kasanita Uinise VI
• Krista Skye Viau, MS, RD, CSP, CD
• Vibe Wellness LLC
• Karley Viczian
• Ayleen Vidal
• Chaelynn Vidal
• Amanda Alvarez Vides
• Casey Robert Vieni, MD, PHD

• Professional Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.