Matthew Cuppett, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.012532 Issued in IL

Practice address

4950 Old Collinsville Rd
Swansea, IL 62226-2025

Phone

(618) 382-4164

Fax

(618) 382-3239

NPI assigned

Nov 25, 2016

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Illinois Baptist Children's Home and Family Services

  • Community/Behavioral Health Agency
  • Carmi, IL
  • NPI 1275682551
  NPD (past)

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

{
    "created_epoch": "1480032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1588107403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 OLD COLLINSVILLE RD",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262025",
            "telephone_number": "618-382-4164",
            "fax_number": "618-382-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 OLD COLLINSVILLE RD",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262025",
            "telephone_number": "618-382-4164",
            "fax_number": "618-382-3239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7110 State Route 162",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620628502",
            "country_code": "US",
            "telephone_number": "618-382-4164 x4112",
            "fax_number": "618-382-3239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUPPETT",
        "first_name": "MATTHEW",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-25",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.012532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crescent Home Health Agency, LLC (NA)
• Raymond Anthony Crisio, DMD
• Cross Counseling and Coaching, Inc. (Child & Adolescent Counseling, Therapy & Support)
• Jocelyn R. Cross, LCSW
• Marcus Andrew Cuff, O.D
• Sophie E Cuppett, SLP
• Jonathan Thomas Currier, D.C., M.S.
• Catherine Ann Daesch, M.A., L.C.P.C.
• Bill Bates Daily Jr., M.D.
• Anne Dall, PHARM.D.

• Professional Counselor in Swansea, IL
• Providers in Swansea, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.