NPIMap

Organization Active NPI

E5 Therapy

  • Mental Health Counselor
  • Suisun City, CA
National Provider Identifier
1609405174
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
E5 THERAPY
Practice address
333 Sunset Ave Ste 200
Suisun City, CA 94585-2003
Phone
(707) 225-7899
Fax
(707) 759-3810
NPI assigned
Apr 6, 2020
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Mr. Matthew Eilers Decker, LCSWNPI 1386965069
Title
Founder
Phone
(602) 363-3156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

333 Sunset Ave Ste 200
Suisun City, CA 94585-2003

Mailing address

333 Sunset Ave Ste 200
Suisun City, CA 94585-2003
Phone (707) 225-7899

National Provider Directory

National Provider Directory

Locations

333 Sunset Ave
Ste 110
Suisun City, CA 94585
Phone (707) 225-7899

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1609405174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SUNSET AVE STE 200",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852003",
            "telephone_number": "707-225-7899",
            "fax_number": "707-759-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SUNSET AVE STE 200",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852003",
            "telephone_number": "707-225-7899",
            "fax_number": "707-759-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E5 THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "EILERS",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "602-363-3156",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suisun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.