Individual provider Active NPI

Matthew Richard Riggle, MA, LMHC

  • Mental Health Counselor
  • Wabash, IN
National Provider Identifier
1699041277
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002309A Issued in IN
Practice address
5233 South 50 East
White's Residential and Family Services
Wabash, IN 46992
Phone
(260) 563-1158
Fax
(260) 563-8975
NPI assigned
Mar 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002309A IN Primary

Addresses

Primary practice location

5233 South 50 East
White's Residential and Family Services
Wabash, IN 46992

Mailing address

4255 S Mill Creek Est
Wabash, IN 46992-8306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20240306002436 IN Practitioner - Mental Health Counselor 6103262779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
39002309AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc Current Accepting new patients
Bowen Health Inc CurrentSince Jan 30, 2024 Accepting new patients

Locations

2312 S Dixon Rd
Ste 250
Kokomo, IN 46902
Phone (765) 455-2122

255 N Miami St
Wabash, IN 46992
Phone (260) 563-8446

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1699041277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 S MILL CREEK EST",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469928306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 SOUTH 50 EAST",
            "address_2": "WHITE'S RESIDENTIAL AND FAMILY SERVICES",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "46992",
            "telephone_number": "260-563-1158",
            "fax_number": "260-563-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGLE",
        "first_name": "MATTHEW",
        "middle_name": "RICHARD",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002309A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabash, IN

Sources for this page

Verify at the official NPI Registry.