Individual provider Active NPI

Rachel Courtney Matyja, LCPC

  • Professional Counselor
  • Towson, MD
National Provider Identifier
1962888008
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6058 Issued in MD
Practice address
100 West Rd Ste 112
Towson, MD 21204-2358
Phone
(443) 927-6535
Fax
(410) 828-0300
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC6058 MD Primary

Addresses

Primary practice location

100 West Rd Ste 112
Towson, MD 21204-2358

Mailing address

100 West Rd Ste 112
Towson, MD 21204-2358

Other names 1

  • Ms. Rachel Courtney Handfinger Former name

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

State licenses

LicenseStateTypeSpecialty
LC6058MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charm City Mental Health Practice, LLC CurrentSince Nov 1, 2020 Accepting new patients

Locations

100 West Rd
Ste 112
Towson, MD 21204
Phone (410) 321-4900

1122 Kenilworth Dr
Ste 109
Towson, MD 21204
Phone (410) 591-7216

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1962888008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 112",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042358",
            "fax_number": "410-828-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 112",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042358",
            "telephone_number": "443-927-6535",
            "fax_number": "410-828-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATYJA",
        "first_name": "RACHEL",
        "middle_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HANDFINGER",
            "middle_name": "COURTNEY",
            "prefix": "MS.",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; 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.