Individual provider Active NPI

Vicki Marie Matthews, M.A., LPCC

  • Professional Counselor
  • Truth Or Consequences, NM
National Provider Identifier
1548619679
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0220321 Issued in NM
Practice address
405 N Date St Ste 9
Truth Or Consequences, NM 87901-2378
Phone
(575) 520-1919
Fax
(575) 520-1919
NPI assigned
Jun 9, 2016
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8817 CA
Professional Counselor 101YP2500X CCMH0220321 NM Primary

Addresses

Primary practice location

405 N Date St Ste 9
Truth Or Consequences, NM 87901-2378

Mailing address

PO Box 1354
Elephant Butte, NM 87935-1354
Phone (575) 520-1919

Other practice location 1

405 N Date St Ste 9
Truth OR Consequences, NM 87901-2378
Phone (575) 520-1919

Other names 1

  • Vicki Marie Matthews Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240514002315 NM Practitioner - Mental Health Counselor 9335580927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 N Date St
Suite 9
Truth Or Consequences, NM 87901-2378
Phone (575) 520-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Counseling Center CurrentSince Apr 11, 2024 Accepting new patients
Zen Lotus Counseling LLC Mental Health CurrentSince Mar 28, 2024 Accepting new patients

Locations

3949 Corrales Rd
Ste 205
Corrales, NM 87048
Phone (505) 385-0439

405 N Date St
Ste 9
Truth Or Consequences, NM 87901
Phone (575) 520-1919

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1548619679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1354",
            "city": "ELEPHANT BUTTE",
            "state": "NM",
            "postal_code": "879351354",
            "telephone_number": "575-520-1919",
            "fax_number": "575-520-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N DATE ST STE 9",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012378",
            "telephone_number": "575-520-1919",
            "fax_number": "575-520-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N Date St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Truth OR Consequences",
            "state": "NM",
            "postal_code": "879012378",
            "country_code": "US",
            "telephone_number": "575-520-1919",
            "fax_number": "575-520-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "VICKI",
        "middle_name": "MARIE",
        "credential": "M.A., LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "8817",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0220321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "MATTHEWS",
            "middle_name": "MARIE",
            "credential": "M.A. LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Truth Or Consequences, NM

Sources for this page

Verify at the official NPI Registry.