Matthew Wilson, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17833 Issued in NC

Practice address

435 W 20TH Ave
Kennewick, WA 99337-4904

Phone

(336) 517-7120

NPI assigned

Aug 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Cardinal Counseling Connection, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greensboro, NC
  • NPI 1124817382
  NPD (past) Authorized official

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1982331328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W 20TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993374904",
            "telephone_number": "336-517-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W 20TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993374904",
            "telephone_number": "336-517-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A17833",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mauri Kirsten Joy Willis, RDH
• Amanda Susanna Willms, L.M.P.
• Donald Wilson
• Laurrel Susan Wilson, CDP
• Madison Wilson
• Susan P Wilson, RPH
• Alexa Wilt
• Brian Henry Wingert, PTA
• Jared Ross Wingert, CRNA
• Laura W Winkel, O.D.

• Mental Health Counselor in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.