Kimberly Matone

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A12882 Issued in NC

Practice address

447 S Sharon Amity Rd
250
Charlotte, NC 28211-2836

Phone

(980) 581-3061

NPI assigned

Mar 29, 2017

Last updated

Mar 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Cotswold Clinician Support Services

  dba Matone Counseling and Testing

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1063893568
  NPD Authorized official

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1912439035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 SHADOWBROOK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115651",
            "telephone_number": "704-493-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 S SHARON AMITY RD",
            "address_2": "250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112836",
            "telephone_number": "980-581-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATONE",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Taylor Matics, PA-C
• Petronela Trina Matiut, FNP-C
• Jerry F. Matkins Jr., MD
• Preeti P Matkins, MD
• Matthew Ralph Matkovich, PA-C
• Jonathan C Matos, MA COUNSELING
• Lisvel Matos
• Nelly A Matos, DDS
• Matrix Medical Network of North Carolina PC
• Chelsea Matson, LPCA

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.