Active NPI
Yuko Matsushima
- Professional Counselor
- Nacogdoches, TX
National Provider Identifier
1790436905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74835
- Practice address
- 214 King St
Nacogdoches, TX 75961-4468 - Phone
- (936) 371-0488
- NPI assigned
- Jan 10, 2022
- Last updated
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 74835 | TX | Primary |
Addresses
Primary practice location
214 King St
Nacogdoches, TX 75961-4468
Mailing address
214 King St
Nacogdoches, TX 75961-4468
Phone (936) 371-0488
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 |
|---|---|---|---|
| 74835 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1790436905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 KING ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614468",
"telephone_number": "936-371-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 KING ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614468",
"telephone_number": "936-371-0488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSUSHIMA",
"first_name": "YUKO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
- Mark Lanier OD PC (Nacogdoches Eye Associates)
- Mark S. Greer (Deer Creek Recovery Center)
- Gia Elena Marotta, M.D.
- Adlai Travis Mast III, MD
- Bill Jeffrey Mathias, MD
- Marissa Matzenauer
- Richard D Mau, M.D.
- Renato Agcanas Maulion Jr., PT
- Maura Messer Counseling and Consulting PLLC
- Judith Jean Mayer, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.