Cicely Matz, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC01954 Issued in MN

Practice address

711 6TH Ave NE # 1
Isanti, MN 55040-3207

Phone

(651) 983-8023

NPI assigned

Jul 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr Brecke Counseling Group

  • Counseling Psychologist
  • Eagan, MN
  • NPI 1174174908
  NPD (past)
• River Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Maple Grove, MN
  • NPI 1457502577
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1699150557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 6TH AVE NE # 1",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550403207",
            "telephone_number": "651-983-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 6TH AVE NE # 1",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550403207",
            "telephone_number": "651-983-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZ",
        "first_name": "CICELY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC01954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jean Lindberg, PTA
• Nancy Lunzer, DC
• Brandy Lusk, DC
• Manatee Mental Health, PLLC
• Melissa Lynn Martini-Tischer, MA
• Tiffany Maxwell
• Annie McClure, MS CCC-SLP
• Aly McGee, MSW LICSW
• MN Mental Health Specialists PA
• Kevin Lowery Moore, MA, LPCC, LADC

• All providers in Isanti, MN
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.