Kristin Leigh Matas

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A11051 Issued in NC

Practice address

514 Williamson Rd Ste 411
Mooresville, NC 28117-9227

Phone

(704) 360-0803

Fax

(704) 940-0869

NPI assigned

Oct 20, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Law

State licenses

Practice roles

Locations

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.

• Matas Counseling Services PLLC

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1043075039
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1811391832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SUNDOWN COVE DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179188",
            "telephone_number": "704-302-6974",
            "fax_number": "704-940-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 WILLIAMSON RD STE 411",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179227",
            "telephone_number": "704-360-0803",
            "fax_number": "704-940-0869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Kilson Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178183",
            "country_code": "US",
            "telephone_number": "704-660-8321",
            "fax_number": "704-660-8323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATAS",
        "first_name": "KRISTIN",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A11051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCMHC",
            "identifier": "S11051",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Marie Massaway, LCMHC
• Kurt Ashley Massey, DPM
• Mastor Mental Health and Associates PC
• Jason Elia Mastor, M.D.
• Matas Counseling Services PLLC
• Kevin Mateer
• Bruce S Mather, M.D.
• Megan Lane Mathis-Webb, AUD
• Sarah Marie Mathis
• Charity Matlock, LCMHC

• Professional Counselor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.