Matthew Carter Myatt, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4007 Issued in TN

Practice address

165 N Main St Ste 204
Collierville, TN 38017-2654

Phone

(901) 286-4017

Fax

(901) 234-0007

NPI assigned

Jan 29, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1831697432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N MAIN ST STE 204",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172654",
            "telephone_number": "901-286-4017",
            "fax_number": "901-234-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N MAIN ST STE 204",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172654",
            "telephone_number": "901-286-4017",
            "fax_number": "901-234-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYATT",
        "first_name": "MATTHEW",
        "middle_name": "CARTER",
        "name_prefix": "Mr.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "4007",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "4007",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Collierville, TN
• Providers in Collierville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.