Individual provider Active NPI

Matthew Thomas Whitting, MA, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Duluth, MN
National Provider Identifier
1639991250
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
305118 Issued in MN
Practice address
5 N 3Rd Ave W Ste 310
Duluth, MN 55802-1614
Phone
(218) 722-2368
Fax
(218) 727-2427
NPI assigned
Oct 25, 2024
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 305118 MN Primary

Addresses

Primary practice location

5 N 3Rd Ave W Ste 310
Duluth, MN 55802-1614

Mailing address

5 N 3Rd Ave W Ste 310
Duluth, MN 55802-1614
Phone (218) 722-2368

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)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1639991250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N 3RD AVE W STE 310",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021614",
            "telephone_number": "218-722-2368",
            "fax_number": "218-727-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N 3RD AVE W STE 310",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021614",
            "telephone_number": "218-722-2368",
            "fax_number": "218-727-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTING",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "MA, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.