Matthew Dale Rummel, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC.0022257 Issued in CO

Practice address

7075 Campus Dr Ste 202
Colorado Springs, CO 80920-6524

Phone

(719) 888-6827

NPI assigned

Jun 6, 2024

Sex

Male

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

Credentials

Master of Science

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 and National Provider Directory roles.

• Polaris Wellness Group, PLLC

  • Counselor
  • Colorado Springs, CO
  • NPI 1558135277

  Mental Health

  NPD

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1720820202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 PURPLE PLUM WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202810",
            "telephone_number": "615-512-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 CAMPUS DR STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809206524",
            "telephone_number": "719-888-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMMEL",
        "first_name": "MATTHEW",
        "middle_name": "DALE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0022257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Gaye Ruiz
• Kaydenz Rukovishnikoff
• Saray Ruland
• Nancy Ruminski
• Laurie Ellen Rumley, PMHNP
• Timothy Rummel, MD
• Maria Kathleen Rundell
• William Orval Runge, M.D.
• Stephanie P Runnels
• Lauren Ashley Runyon

• Mental Health Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.