Matthew Powless, PH.D., HSPP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

20043341B Issued in IN

Practice address

100 N Saint Joseph Ave
Evansville, IN 47712-5506

Phone

(812) 483-8800

NPI assigned

Nov 10, 2021

Last updated

Nov 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Easter Seals Rehabilitation Center, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Evansville, IN
  • NPI 1003979964
  Medicare reassignment NPD
• University of Evansville

  • Adolescent and Children Mental Health Clinic/Center
  • Evansville, IN
  • NPI 1265211288
  Medicare reassignment NPD
• Easter Seals Rehabilitation Center, Inc

  • Durable Medical Equipment & Medical Supplies
  • Evansville, IN
  • NPI 1639158587
  NPD

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1811653256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 MARYWOOD DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303044",
            "telephone_number": "812-483-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N SAINT JOSEPH AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477125506",
            "telephone_number": "812-483-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWLESS",
        "first_name": "MATTHEW",
        "credential": "PH.D., HSPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "IN",
            "license": "20043341B",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20043341B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpowless@valorpsychological.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 N Saint Joseph Ave",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477125506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie M Powell, LCSW
• Syrrus Powell, LCSW
• Teresa L Powell, CPHT
• Carson Powers, MD
• Hannah M Powers, OD
• Nripesh Pradhan, M.D.
• Varsha Prakash, MD
• Darrell W Pratt, O.D.
• Elise Martha Pratt, ATC
• Precious Angels Home Care

• Counseling Psychologist in Evansville, IN
• Providers in Evansville, IN by specialty
• Counseling Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.