Active NPI
Matthew Jay McNiven, M.S. LPC-860
- Professional Counselor
- Burlington, WY
National Provider Identifier
1932566643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-860
- Practice address
- 3928 Road 9
Burlington, WY 82411-9731 - Phone
- (307) 272-9224
- Fax
- (307) 762-3715
- NPI assigned
- Jan 26, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-860 | WY | Primary |
| School Counselor | 101YS0200X | STANDARD | WY | |
| School Psychologist | 103TS0200X | STANDARD | WY |
Addresses
Primary practice location
3928 Road 9
Burlington, WY 82411-9731
Mailing address
3928 Road 9
Burlington, WY 82411-9731
Phone (307) 272-9224
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 |
|---|---|---|---|
| LPC-860 | WY | MD | Professional Counselor |
| STANDARD | WY | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Health Center of Wyoming | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Burlington, WY
- NPI 1477008183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1932566643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3928 ROAD 9",
"city": "BURLINGTON",
"state": "WY",
"postal_code": "824119731",
"telephone_number": "307-272-9224",
"fax_number": "307-762-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3928 ROAD 9",
"city": "BURLINGTON",
"state": "WY",
"postal_code": "824119731",
"telephone_number": "307-272-9224",
"fax_number": "307-762-3715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNIVEN",
"first_name": "MATTHEW",
"middle_name": "JAY",
"credential": "M.S. LPC-860",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC-860",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "WY",
"license": "STANDARD",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WY",
"license": "STANDARD",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.