Reagan Bartley Matze, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1350 E Woodrow Wilson Ave
Jackson, MS 39216-5112

Phone

(601) 364-3319

NPI assigned

Sep 29, 2020

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Reagan Bartley Former name

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi Methodist Hospital and Rehabilitation Center, Inc.Group PAC ID 8921912270, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ms Methodist Hospital & Rehabilitation Center

  dba Methodist Rehab Ceter

  • Clinical Neuropsychologist
  • Jackson, MS
  • NPI 1285772293
  Medicare reassignment Care Compare group NPD
• Mississippi Methodist Hospital & Rehabilitation Center, Inc.

  dba Methodist Orthotics & Prosthetics

  • Durable Medical Equipment & Medical Supplies
  • Brookhaven, MS
  • NPI 1689461626
  NPD
• Mississippi Methodist Hospital & Rehabilitation Center, Inc.

  dba Methodist Rehab Center

  • Physical Medicine & Rehabilitation Physician
  • Jackson, MS
  • NPI 1790711273
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1639786163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165112",
            "telephone_number": "601-364-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZE",
        "first_name": "REAGAN",
        "middle_name": "BARTLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REAGAN",
            "last_name": "BARTLEY",
            "credential": "P-LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Amanda Catherine Matthews
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• Jessica Paige Mauroner
• Maxillofacial Surgery Center of Central Mississippi
• Maximum Healthcare, LLC
• Wilburn Maret Maxwell, M.D.

• Mental Health Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.