Active NPI
Richard Steven Matkin, LMFT
- Marriage & Family Therapist
- Boise, ID
National Provider Identifier
1811204241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT-3057
- Practice address
- 1253 N Cole Rd
Boise, ID 83704-8647 - Phone
- (208) 376-7083
- Fax
- (208) 321-5069
- NPI assigned
- Sep 7, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-3057 | ID | Primary |
Addresses
Primary practice location
1253 N Cole Rd
Boise, ID 83704-8647
Mailing address
13739 Crisholm Rd
Caldwell, ID 83607-8219
Phone (208) 989-9360
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 |
|---|---|---|---|
| LMFT-3057 | ID | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1811204241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13739 CRISHOLM RD",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836078219",
"telephone_number": "208-989-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 N COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837048647",
"telephone_number": "208-376-7083",
"fax_number": "208-321-5069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATKIN",
"first_name": "RICHARD",
"middle_name": "STEVEN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-07",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "LMFT-3057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.