Active NPI
Matthew Harvey Stricklin Jr., MDIV, MSED, LPCC
- Professional Counselor
- Milford, OH
National Provider Identifier
1558412445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0700182-SUPV
- Practice address
- 5936 Woodspoint Dr
Milford, OH 45150-2157 - Phone
- (513) 535-6053
- NPI assigned
- Jan 16, 2007
- Last updated
- Nov 9, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E. 0700182 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CERTIFICATION 050075 | OH | |
| Professional Counselor | 101YP2500X | E.0700182-SUPV | OH | Primary |
Addresses
Primary practice location
5936 Woodspoint Dr
Milford, OH 45150-2157
Mailing address
5936 Woodspoint Dr
Milford, OH 45150-2157
Phone (513) 535-6053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERTIFICATION 050075 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E. 0700182 | OH | MD | Professional Counselor |
| E.0700182-SUPV | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
| Three Waters Recovery Center, LLC | Past | Accepting new patients |
Locations
20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973
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.
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1700521051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731110400000",
"number": "1558412445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5936 WOODSPOINT DR",
"city": "MILFORD",
"state": "OH",
"postal_code": "451502157",
"telephone_number": "513-535-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5936 WOODSPOINT DR",
"city": "MILFORD",
"state": "OH",
"postal_code": "451502157",
"telephone_number": "513-535-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRICKLIN",
"first_name": "MATTHEW",
"middle_name": "HARVEY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MDIV, MSED, LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2024-11-09",
"certification_date": "2024-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E. 0700182",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CERTIFICATION 050075",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0700182-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.