Individual provider Active NPI

Matthew Kevin Lamphere, LMHC, CASAC

  • Mental Health Counselor
  • Vestal, NY
National Provider Identifier
1780084129
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010851-01 Issued in NY
Practice address
501 Main St
Vestal, NY 13850-1569
Phone
(607) 427-8830
NPI assigned
Sep 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010851-01 NY Primary

Addresses

Primary practice location

501 Main St
Vestal, NY 13850-1569

Mailing address

501 Main St
Vestal, NY 13850-1569
Phone (607) 427-8830

Other identifiers 1

IdentifierTypeStateIssuer
1336163963MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20250707002710 NY Practitioner - Mental Health Counselor 3072027655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 Main St
Vestal, NY 13850-1569
Phone (607) 427-8830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010851-01NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Lamphere Licensed Mental Health Counselor PLLC Mental Health CurrentSince Jun 11, 2025 Accepting new patients
Family Counseling Services of Cortland County, Inc. Counselor PastSince Feb 2, 2014 Accepting new patients

Organizations & group practices 2

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1780084129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501569",
            "telephone_number": "607-427-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501569",
            "telephone_number": "607-427-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPHERE",
        "first_name": "MATTHEW",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "LMHC, CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010851-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336163963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.