Warren Bruce Matson, MSED, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-002341 Issued in IL

Practice address

208 N West St
Wheaton, IL 60187-5098

Phone

(630) 871-0770

Fax

(630) 871-0772

NPI assigned

Feb 26, 2008

Last updated

Nov 1, 2024By the provider in NPPES

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

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lighthouse RecoveryGroup PAC ID 6305287343, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Clinical Associates, LTD

  • Community/Behavioral Health Agency
  • Wheaton, IL
  • NPI 1689707440
  Medicare reassignment NPD Authorized official
• Lighthouse Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • St Charles, IL
  • NPI 1700246139
  Medicare reassignment Care Compare group NPD
• Lighthouse Recovery

  • Addiction Medicine (Preventive Medicine) Physician
  • St Charles, IL
  • NPI 1063373835
  NPD
• Lotus Therapy Inc.

  • Clinical Social Worker
  • St Charles, IL
  • NPI 1083218309
  NPD (past)

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1720257694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 921",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601870921",
            "telephone_number": "630-871-0770",
            "fax_number": "630-871-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N WEST ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875098",
            "telephone_number": "630-871-0770",
            "fax_number": "630-871-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 S 5th St Ste 10",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601742700",
            "country_code": "US",
            "telephone_number": "630-940-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATSON",
        "first_name": "WARREN",
        "middle_name": "BRUCE",
        "credential": "MSED, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-002341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Mathew
• Heidi M Mathew, APN
• Mary Malisa Mathew
• Sneha Mathew
• Tessie Thomas Mathew, D.O.
• Maudlin & Associates LLC
• Karen Leigh Maudlin, PSY.D., CPPC
• Ashley May, DPT
• Jennifer Diane May, M.D.
• Jasmine Mayo

• Professional Counselor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.