Individual provider Active NPI

Matthew James Lottes, B.S

  • Behavior Technician
  • Cedar Springs, MI
National Provider Identifier
1942890959
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
421 Pioneer TRL
Cedar Springs, MI 49319-8136
Phone
(616) 251-8162
Fax
(616) 327-4660
NPI assigned
Jan 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

421 Pioneer TRL
Cedar Springs, MI 49319-8136

Mailing address

1447 Hazen St SE
Grand Rapids, MI 49507-3712
Phone (517) 290-8120

Other practice location 1

2925 Breton Rd SE
Grand Rapids, MI 49512-1745
Phone (616) 243-4336

Other practice location 2

1000 E Paris Ave SE Ste 160
Grand Rapids, MI 49546-8313
Phone (616) 344-4699

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
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Bergmark Consulting, LLC CurrentSince Jun 3, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1942890959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 HAZEN ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073712",
            "telephone_number": "517-290-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PIONEER TRL",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198136",
            "telephone_number": "616-251-8162",
            "fax_number": "616-327-4660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 Breton Rd SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495121745",
            "country_code": "US",
            "telephone_number": "616-243-4336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Paris Ave SE Ste 160",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495468313",
            "country_code": "US",
            "telephone_number": "616-344-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTTES",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-23",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.