Active NPI
Matthew Weber Austin
- Counselor
- Saranac, MI
National Provider Identifier
1861986317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401016699
- Practice address
- 6502 Darby Rd
Saranac, MI 48881-9696 - Phone
- (616) 915-3169
- NPI assigned
- Jun 19, 2018
- Last updated
- Jun 25, 2026
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401016699 | MI | Primary |
Addresses
Primary practice location
6502 Darby Rd
Saranac, MI 48881-9696
Mailing address
6502 Darby Rd
Saranac, MI 48881-9696
Phone (616) 915-3169
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401016699 | Medicaid | MI |
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 |
|---|---|---|---|
| 6401016699 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1861986317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6502 DARBY RD",
"city": "SARANAC",
"state": "MI",
"postal_code": "488819696",
"telephone_number": "616-915-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6502 DARBY RD",
"city": "SARANAC",
"state": "MI",
"postal_code": "488819696",
"telephone_number": "616-915-3169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "MATTHEW",
"middle_name": "WEBER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-19",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401016699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6401016699",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saranac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.