Individual provider Active NPI

Matthew Cruvant, MA, LMHC

  • Mental Health Counselor
  • Tacoma, WA
National Provider Identifier
1588025183
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60305802 Issued in WA
Practice address
758 St Helens Ave
Tacoma, WA 98402-3706
Phone
(253) 274-0484
NPI assigned
Mar 10, 2016
Last updated
Mar 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60305802 WA Primary

Addresses

Primary practice location

758 St Helens Ave
Tacoma, WA 98402-3706

Mailing address

758 St Helens Ave
Tacoma, WA 98402-3706
Phone (253) 274-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH 60305802WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Counseling Tacoma Past Accepting new patients
Lakewood Child and Family Counseling LLC Mental Health Past Accepting new patients

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1588025183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 ST HELENS AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023706",
            "telephone_number": "253-274-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 ST HELENS AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023706",
            "telephone_number": "253-274-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUVANT",
        "first_name": "MATTHEW",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60305802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.