Michelle Matury, M.H.S., C.A.D.C.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

00374-C Issued in NV

Practice address

3155 E Patrick LN Ste 1
Las Vegas, NV 89120-3481

Phone

(702) 992-0576

NPI assigned

Oct 29, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Charleston Residential Services LLC

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
  • NPI 1790253060
  NPD (past)

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1972931079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 RAVEN CREEK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891307207",
            "telephone_number": "219-306-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 E PATRICK LN STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203481",
            "telephone_number": "702-992-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATURY",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "M.H.S., C.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00374-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loyd Mattox Jr.
• Shanice Mattox
• Melody Mattson
• Monique Matule
• Lucia Maturin
• Juliana Matus Hernandez
• Carlos Enrique Matus
• Dawn Marie Matusz, MS, NDTR
• Jasmin Quillosa Matutis, APRN, FNP-BC
• Alexander Matyga, DO

• Addiction (Substance Use Disorder) Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.