Active NPI
Matthew Wayne Hunt, M.S., LCPC
- Professional Counselor
- Decatur, IL
National Provider Identifier
1871685115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 3040 N University Ave
Suite 2
Decatur, IL 62526-1391 - Phone
- (217) 872-1700
- Fax
- (217) 872-1366
- NPI assigned
- Sep 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
3040 N University Ave
Suite 2
Decatur, IL 62526-1391
Mailing address
3040 N University Ave
Suite 2
Decatur, IL 62526-1391
Phone (217) 872-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0035840188 | Other | IL | BLUE CROSS/BLUE SHIELD |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.006191 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Counseling Center, LLC | Past | Accepting new patients | |
| Decatur Psychological Associates PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Decatur, IL
- NPI 1548136583
-
- Counselor
- Decatur, IL
- NPI 1184732745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871685115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 N UNIVERSITY AVE",
"address_2": "SUITE 2",
"city": "DECATUR",
"state": "IL",
"postal_code": "625261391",
"telephone_number": "217-872-1700",
"fax_number": "217-872-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 N UNIVERSITY AVE",
"address_2": "SUITE 2",
"city": "DECATUR",
"state": "IL",
"postal_code": "625261391",
"telephone_number": "217-872-1700",
"fax_number": "217-872-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "MATTHEW",
"middle_name": "WAYNE",
"credential": "M.S., LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0035840188",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.