Mark Alan Matthews, MA, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401006744 Issued in MI

Practice address

1515 N Stephenson Hwy
Royal Oak, MI 48067-1526

Phone

(248) 542-6070

Fax

(248) 542-3210

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Master of Arts

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.

• Ascension Eastwood Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Royal Oak, MI
  • NPI 1922116938
  NPD (past)
• Henry Ford Health Eastwood Behavioral Health

  • Social Worker
  • Clinton Township, MI
  • NPI 1396787701
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710085634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28000 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922468",
            "telephone_number": "586-753-0405",
            "fax_number": "586-753-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N STEPHENSON HWY",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671526",
            "telephone_number": "248-542-6070",
            "fax_number": "248-542-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401006744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Mattar, MD
• Matthew a Ziegler MD PLLC
• Matthew Ventimiglia, PHD
• Matthew'S Endless Possibilities LLC
• Joseph Matthews
• Katerina Kitsios Mattia, DO
• Ryan Matusik
• Maureen Cliffel DO PLLC
• Jennifer Elaine Maurer
• Lori Michelle Mausi, M.D.

• Counselor in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.