Active NPI
Matthew Aaron Newell, LPC
- Counselor
- Sterling Heights, MI
National Provider Identifier
1740801794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401018228
- Practice address
- 38600 Van Dyke Ave Ste 101
Sterling Heights, MI 48312-1171 - Phone
- (248) 266-5591
- NPI assigned
- Apr 30, 2020
- 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 | 6401018228 | MI | Primary |
Addresses
Primary practice location
38600 Van Dyke Ave Ste 101
Sterling Heights, MI 48312-1171
Mailing address
840 Lynhaven CT
Rochester Hills, MI 48307-3028
Phone (215) 594-9818
Other practice location 1
1220 W Presidio St
Fort Worth, TX 76102-4512
Phone (215) 594-9818
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401018228 | Other | MI | STATE LICENSE NUMBER |
| 78085 | Other | TX | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 6401018228 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lauren Presutti LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1740801794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 LYNHAVEN CT",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073028",
"telephone_number": "215-594-9818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38600 VAN DYKE AVE STE 101",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483121171",
"telephone_number": "248-266-5591"
}
],
"practiceLocations": [
{
"address_1": "1220 W Presidio St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761024512",
"country_code": "US",
"telephone_number": "215-594-9818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWELL",
"first_name": "MATTHEW",
"middle_name": "AARON",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-30",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401018228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "6401018228",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "78085",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.