Individual provider Active NPI

Robert Matthews, M.A.

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1861822165
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60468316 Issued in WA
Practice address
1817 Queen Anne Ave N
Suite 303
Seattle, WA 98109-2876
Phone
(206) 285-0171
NPI assigned
Nov 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG60468517 WA
Mental Health Counselor 101YM0800X MC60468316 WA Primary

Addresses

Primary practice location

1817 Queen Anne Ave N
Suite 303
Seattle, WA 98109-2876

Mailing address

1817 Queen Anne Ave N
Suite 303
Seattle, WA 98109-2876
Phone (206) 285-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 12, 2025 through Feb 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60468316WAMDMental Health Counselor
MG60468517WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews LLC Mental Health Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1861822165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 QUEEN ANNE AVE N",
            "address_2": "SUITE 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092876",
            "telephone_number": "206-285-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 QUEEN ANNE AVE N",
            "address_2": "SUITE 303",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092876",
            "telephone_number": "206-285-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ROBERT",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60468517",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60468316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.