Active NPI
Carmenia Matthews
- Addiction (Substance Use Disorder) Counselor
- Santa Monica, CA
National Provider Identifier
1962054122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 909 Pico Blvd
Santa Monica, CA 90405-1326 - Phone
- (866) 452-5273
- NPI assigned
- Jul 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
909 Pico Blvd
Santa Monica, CA 90405-1326
Mailing address
4306 Santo Tomas Dr Apt D
Los Angeles, CA 90008-3044
Phone (818) 619-4752
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1962054122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4306 SANTO TOMAS DR APT D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900083044",
"telephone_number": "818-619-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 PICO BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904051326",
"telephone_number": "866-452-5273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "CARMENIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.