Active NPI
Matthew Brian Lawler, AMFT, APCC
- Marriage & Family Therapist
- Costa Mesa, CA
National Provider Identifier
1831843085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT120534
- Practice address
- 275 Victoria St
Costa Mesa, CA 92627-1906 - Phone
- (714) 543-5463
- NPI assigned
- Feb 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APCC8181 | CA | |
| Marriage & Family Therapist | 106H00000X | AMFT120534 | CA | Primary |
Addresses
Primary practice location
275 Victoria St
Costa Mesa, CA 92627-1906
Mailing address
275 Victoria St
Costa Mesa, CA 92627-1906
Phone (714) 543-5463
Other practice location 1
2130 E 4th St Ste 107
Santa Ana, CA 92705-3818
Phone (714) 543-5463 ext. 1353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250610001952 | CA | Practitioner - Marriage and Family Therapist | 7719497601 | Practice locations: Carlsbad, CA; Irvine, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC8181 | CA | MD | Mental Health Counselor |
| AMFT120534 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Lawler | Mental Health | Current | Accepting new patients |
Locations
2177 Salk Ave
Ste 175
Carlsbad, CA 92008
Phone (760) 624-3984
16485 Laguna Canyon Rd
Ste 200
Irvine, CA 92618
Phone (424) 438-2888
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Carlsbad, CA
- NPI 1437952454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1831843085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 VICTORIA ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271906",
"telephone_number": "714-543-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 VICTORIA ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271906",
"telephone_number": "714-543-5463"
}
],
"practiceLocations": [
{
"address_1": "2130 E 4th St Ste 107",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927053818",
"country_code": "US",
"telephone_number": "714-543-5463 x1353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWLER",
"first_name": "MATTHEW",
"middle_name": "BRIAN",
"credential": "AMFT, APCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-07",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "APCC8181",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT120534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.