Active NPI
Matthew T Vahl
- Professional Counselor
- Wauwatosa, WI
National Provider Identifier
1619301355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1033 N Mayfair Rd Ste 305
Wauwatosa, WI 53226-3442 - Phone
- (414) 302-1233
- NPI assigned
- Aug 29, 2013
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1033 N Mayfair Rd Ste 305
Wauwatosa, WI 53226-3442
Mailing address
W208N6954 Fillmore Dr
Menomonee Falls, WI 53051-4706
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Therapies & Wellness Center, S.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brookfield, WI
- NPI 1356569115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1619301355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W208N6954 FILLMORE DR",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530514706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 N MAYFAIR RD STE 305",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263442",
"telephone_number": "414-302-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHL",
"first_name": "MATTHEW",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-29",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
- United Lutheran Program for the Aging, Inc
- United Seating and Mobility LLC
- Unity Bridge Community Services
- University of Wisconsin System Non Payroll
- Amanda M Uting, DPT
- Katrina M Valente, LPC
- Valentin Clinic SC
- Cynthia Celeste-Trout Valentin, PHD APNP
- Nathan A Valentine, M.D.
- Eric John Van Dyck, APNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.