Individual provider Active NPI

Renee Marie Matus, MSW, M.ED., LSW, PEL

  • Social Worker
  • New Lenox, IL
National Provider Identifier
1912886268
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.117882 Issued in IL
Practice address
305 N Vine St Unit 201
New Lenox, IL 60451-1652
Phone
(815) 320-3749
Fax
(815) 320-3825
NPI assigned
Aug 30, 2025
Last updated
Sep 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.117882 IL Primary

Addresses

Primary practice location

305 N Vine St Unit 201
New Lenox, IL 60451-1652

Mailing address

10665 Yankee Ridge Dr
Frankfort, IL 60423-2215
Phone (331) 401-3711

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 Education

State licenses

LicenseStateTypeSpecialty
150.117882ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Kennedy Center for Counseling, P.C. CurrentSince Sep 3, 2025 Accepting new patients

Locations

305 N Vine St
Unit 201
New Lenox, IL 60451
Phone (815) 258-9733

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1912886268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10665 YANKEE RIDGE DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232215",
            "telephone_number": "331-401-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N VINE ST UNIT 201",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511652",
            "telephone_number": "815-320-3749",
            "fax_number": "815-320-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUS",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "credential": "MSW, M.ED., LSW, PEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-30",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.117882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.