Active NPI
Matthew George Neverusky, M.ED.
- Professional Counselor
- Vienna, VA
National Provider Identifier
1578992210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC14435
- Practice address
- 7970 Vigne CT
Vienna, VA 22182-4052 - Phone
- (312) 451-4008
- Fax
- (703) 448-6017
- NPI assigned
- Nov 4, 2013
- Last updated
- Nov 4, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC14435 | DC | Primary |
Addresses
Primary practice location
7970 Vigne CT
Vienna, VA 22182-4052
Mailing address
7970 Vigne CT
Vienna, VA 22182-4052
Phone (312) 451-4008
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC14435 | DC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1578992210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7970 VIGNE CT",
"city": "VIENNA",
"state": "VA",
"postal_code": "221824052",
"telephone_number": "312-451-4008",
"fax_number": "703-448-6017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7970 VIGNE CT",
"city": "VIENNA",
"state": "VA",
"postal_code": "221824052",
"telephone_number": "312-451-4008",
"fax_number": "703-448-6017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVERUSKY",
"first_name": "MATTHEW",
"middle_name": "GEORGE",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC14435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.