Individual provider Active NPI

Matthew Jon Laurencelle, M.D.

  • Psychiatry Physician
  • Murfreesboro, TN
National Provider Identifier
1619239548
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301101016 Issued in MI
Practice address
1700 Medical Center Pkwy
Murfreesboro, TN 37129-2245
Phone
(615) 396-4100
NPI assigned
Jun 15, 2012
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 72564 TN
Addiction Psychiatry Physician 2084P0802X 4301101016 MI
Psychiatry Physician 2084P0800X 4301101016 MI Primary

Addresses

Primary practice location

1700 Medical Center Pkwy
Murfreesboro, TN 37129-2245

Mailing address

PO Box 405827
Atlanta, GA 30384-5827

Other practice location 1

12851 Grand River Rd
Brighton, MI 48116-8506
Phone (810) 227-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180823002405 MI Practitioner - PsychiatryPractitioner - Addiction Medicine 7315257458 Reassigns benefits to 3 organizations
I20250103002210 TN Practitioner - Psychiatry 7315257458 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health Brighton Center for RecoveryGroup PAC ID 2668466996, 15 clinicians
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 783-2497

12851 Grand River Rd
Brighton, MI 48116-8506
Phone (810) 225-2506

1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4685

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301101016MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cookeville Regional Medical Center CurrentSince Feb 1, 2025 Accepting new patients
St Mary Mercy Hospital Crna Current Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health Brighton Center for Recovery CurrentSince Dec 17, 2018 Accepting new patients
Baptist Memorial Medical Group Inc Psychiatry CurrentSince Dec 5, 2024 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Jul 17, 2018 Accepting new patients
Saint Thomas Medical Partners CurrentSince Dec 15, 2024 Accepting new patients
Henry Ford Health System Psychiatry CurrentSince Nov 13, 2024 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Jul 17, 2018 Accepting new patients
St Mary Mercy Hospital Professional Current Accepting new patients
Cookeville Regional Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Dec 6, 2025 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Dec 5, 2024 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Dec 6, 2025 Accepting new patients
Henry Ford Health System CurrentSince Nov 13, 2024 Accepting new patients
Univerisity of Michigan Health System Past Accepting new patients

Locations

1500 E Medical Center Dr
#F6135
Ann Arbor, MI 48109
Phone (734) 615-0199

12851 Grand River Rd
Brighton, MI 48116
Phone (810) 225-2506

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

300 20th Ave N
Fl 9
Nashville, TN 37203

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

520 W Main St
Smithville, TN 37166
Phone (615) 215-5000

Interoperability endpoints

  • Direct secure messaging: mlaurencelle60060@direct.hfhs.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1619239548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL CENTER PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292245",
            "telephone_number": "615-396-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12851 Grand River Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481168506",
            "country_code": "US",
            "telephone_number": "810-227-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAURENCELLE",
        "first_name": "MATTHEW",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "72564",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MI",
            "license": "4301101016",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301101016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.