Active NPI
Enmanuel Matos, LMHC
- Counselor
- Lincoln, RI
National Provider Identifier
1720280993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 652 George Washington Hwy
Lincoln, RI 02865-4330 - Phone
- (401) 475-9979
- NPI assigned
- Jun 1, 2007
- Last updated
- Mar 20, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
652 George Washington Hwy
Lincoln, RI 02865-4330
Mailing address
12 Eagle St Unit 12-412
Providence, RI 02908-5657
Phone (401) 475-9979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30343 | Other | RI | BLUE CROSS CRISIS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1720280993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 EAGLE ST UNIT 12-412",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029085657",
"telephone_number": "401-475-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 GEORGE WASHINGTON HWY",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028654330",
"telephone_number": "401-475-9979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS",
"first_name": "ENMANUEL",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS CRISIS",
"identifier": "30343",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.