Miles Matise, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1306 11TH Ave
Greeley, CO 80631-3835

Phone

(970) 347-2120

Fax

(970) 353-3906

NPI assigned

Aug 30, 2006

Last updated

Sep 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, TX3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Ihearu Mental Health LLCGroup PAC ID 4183086788, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  Professional, TX

  Medicare reassignment Care Compare group NPD
• Ihearu Mental Health LLC

  • Counseling Psychologist
  • Mansfield, TX
  • NPI 1134807100
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  TX

  Medicare reassignment NPD
• Institute for Health Evaluation and Research Unlimited LLC

  dba Circulus Diagnostics

  • Clinical Medical Laboratory
  • Grand Prairie, TX
  • NPI 1841936168
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1912017187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 11TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806313835",
            "telephone_number": "970-347-2120",
            "fax_number": "970-353-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 11TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806313835",
            "telephone_number": "970-347-2120",
            "fax_number": "970-353-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATISE",
        "first_name": "MILES",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "4120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "4120",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Matava
• Nicole Jo Mater
• Shane Francis Matheson, HAD.0000608
• Jessica R Mathis, MI
• Brittany Michele Mathisen, AU.D.
• Lawrence Matson, ED.D
• Autumn Lee Matsutani, MA, CRC, LPC, NCC
• Kaila Mattera, OTD, OTR/L
• Matthew J. Uyemura, MD, PC
• Briana Matthews

• Professional Counselor in Greeley, CO
• Providers in Greeley, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.