Active NPI
Michael B Matthews
- Mental Health Counselor
- Burley, ID
National Provider Identifier
1558236554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3371880
- Practice address
- 1309 Bennett Ave
Burley, ID 83318-2676 - Phone
- (208) 678-7796
- Fax
- (385) 236-7291
- NPI assigned
- Oct 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3371880 | ID | |
| Professional Counselor | 101YP2500X | 3371880 | ID | |
| Mental Health Counselor | 101YM0800X | 3371880 | ID | Primary |
Addresses
Primary practice location
1309 Bennett Ave
Burley, ID 83318-2676
Mailing address
2465 Hiland Ave Apt D308
Burley, ID 83318-2779
Phone (385) 236-7291
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 |
|---|---|---|---|
| 3371880 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Services Corporation | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Twin Falls, ID
- NPI 1235279217
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1558236554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2465 HILAND AVE APT D308",
"city": "BURLEY",
"state": "ID",
"postal_code": "833182779",
"telephone_number": "385-236-7291",
"fax_number": "385-236-7291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 BENNETT AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "833182676",
"telephone_number": "208-678-7796",
"fax_number": "385-236-7291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "MICHAEL",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-08",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "3371880",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "3371880",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "3371880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.