Matthew A. Pratt, LPC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7135-226 Issued in WI

Practice address

2727 N Grandview Blvd Ste 203
Waukesha, WI 53188-1671

Phone

(262) 547-5567

NPI assigned

Dec 16, 2022

Last updated

Dec 16, 2022By 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 1

Addresses

Electronic endpoints 1

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.

• Family Service Agency of Waukesha County Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
  • NPI 1568404671
  NPD

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1912619495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 S LAKE DR APT 7",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532355925",
            "telephone_number": "937-631-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N GRANDVIEW BLVD STE 203",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881671",
            "telephone_number": "262-547-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "MATTHEW",
        "middle_name": "A.",
        "credential": "LPC-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7135-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "Y",
            "affiliationName": "Family Services of Waukesha",
            "address_1": "2727 N Grandview Blvd Ste 203",
            "city": "Waukesha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531881671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cynthia Nmi Potter, RN
• Jenna M Potters, RN
• Rebecca Potts, PMHNP-BC
• Practice Management Group Inc (Eagle Medical Center)
• Adrien Prah, LPC
• Premier Pediatrics Wisconsin LLC (Thrive Pediatrics)
• Presbyterian Homes Hospice Inc
• Presbyterian Homes of Wisconsin, Inc. (Avalon Square)
• Stacy Presley, CSW
• Prestige Therapy and Wellness LLC

• Professional Counselor in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.