Matthew Aycock
Individual provider Active NPI Marriage & Family Therapist · Louisville, MS
NPI 1801515424 · NPPES record last updated Oct 23, 2025
Key facts
- NPI
- 1801515424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- T11683 (MS)
- Practice address
- 16220 W Main St
Louisville, MS 39339-2639 - Phone
- (662) 773-9377
- NPI assigned
- Aug 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Region Seven Mental Health Intellectual Disabilities Comm
Practice addresses (Care Compare)
302 N Jackson St
Starkville, MS 39759-2504
Phone (601) 323-9261
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251021000028 | MS | Practitioner - Marriage and Family Therapist | 1951899228 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T11683 | MS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region Seven Mental Health Idd Commission | Mental Health | Current |
Accepting new patients |
| Region Seven Mental Health Intellectual Disabilities Comm | Current |
Accepting new patients |
Locations
16220 W Main St
Louisville, MS 39339
Phone (662) 773-9377
302 N Jackson St
Starkville, MS 39759
Phone (662) 323-9261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T11683 | MS | Yes |
Addresses
Primary practice location
16220 W Main St
Louisville, MS 39339-2639
Mailing address
5458 Old Robinson Rd
Louisville, MS 39339-7464
Phone (662) 773-9377
Other providers in Louisville, MS
- Zachary Allen
- Ard Medical Clinic PLLC
- Michael L. Ard
- Kathryn Armstrong
- Ase Homecare
- Marye Baker
- Jennifer R. Ball
- William L. Ball
- Brenda W Bankhead
- Michael Wade Baskin
All providers in Louisville, MS · Marriage & Family Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.