Individual provider Active NPI

Matthew Vermillion

  • Professional Counselor
  • Branson, MO
National Provider Identifier
1831834126
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025047466 Issued in MO
Practice address
1232 Branson Hills Pkwy Ste 104
Branson, MO 65616-4189
Phone
(417) 336-9355
NPI assigned
May 1, 2022
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2025047466 MO Primary

Addresses

Primary practice location

1232 Branson Hills Pkwy Ste 104
Branson, MO 65616-4189

Mailing address

165 Buzz St Unit 17
Branson, MO 65616-6718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20251114001538 MO Practitioner - Mental Health Counselor 7315438629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Community Health Center IncGroup PAC ID 9931541943, 3 clinicians

Practice addresses (Care Compare)

1232 Branson Hills Pkwy
Suite 104
Branson, MO 65616-4189
Phone (417) 336-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025047466MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Community Health Center, Inc. CurrentSince Jun 9, 2024 Accepting new patients
Hope Counseling Center, Inc. Mental Health CurrentSince Sep 24, 2025 Accepting new patients

Locations

1232 Branson Hills Pkwy
Ste 104
Branson, MO 65616
Phone (417) 336-9355

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1831834126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BUZZ ST UNIT 17",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656166718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 BRANSON HILLS PKWY STE 104",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164189",
            "telephone_number": "417-336-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILLION",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-01",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025047466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.