Active NPI
Matthew Ryan Farley, CPC
- Mental Health Counselor
- Tumwater, WA
National Provider Identifier
1841005162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CG61663152
- Practice address
- 3285 Ferguson St SW
Tumwater, WA 98512-6143 - Phone
- (360) 943-1907
- NPI assigned
- Feb 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CG61663152 | WA | Primary |
Addresses
Primary practice location
3285 Ferguson St SW
Tumwater, WA 98512-6143
Mailing address
3285 Ferguson St SW
Tumwater, WA 98512-6143
Phone (360) 943-1907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG61663152 | Other | WA | HEALTH CARE AUTHORITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG61663152 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1841005162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3285 FERGUSON ST SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985126143",
"telephone_number": "360-943-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 FERGUSON ST SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985126143",
"telephone_number": "360-943-1907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARLEY",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "CPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG61663152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CARE AUTHORITY",
"identifier": "CG61663152",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.