Active NPI
Mary Terese Matousek, LPC EAP
- Professional Counselor
- Westlake, OH
National Provider Identifier
1720119266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C4919
- Practice address
- 24500 Center Ridge Rd
#100 BLDG 4
Westlake, OH 44145 - Phone
- (440) 899-1300
- Fax
- (440) 899-0266
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C4919 | OH | Primary |
Addresses
Primary practice location
24500 Center Ridge Rd
#100 BLDG 4
Westlake, OH 44145
Mailing address
24500 Center Ridge Rd
#100 BLDG 4
Westlake, OH 44145
Phone (440) 899-1300
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4919 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antone F Feo, PHD & Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Westlake, OH
- NPI 1336349083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720119266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24500 CENTER RIDGE RD",
"address_2": "#100 BLDG 4",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "44145",
"telephone_number": "440-899-1300",
"fax_number": "440-899-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24500 CENTER RIDGE RD",
"address_2": "#100 BLDG 4",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "44145",
"telephone_number": "440-899-1300",
"fax_number": "440-899-0266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOUSEK",
"first_name": "MARY TERESE",
"name_prefix": "Mrs.",
"credential": "LPC EAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C4919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake, OH
Sources for this page
- 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.