Clarissa Matthews, PCC, LPCC, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0500480 Issued in OH

Practice address

710 Cleveland Ave
Fremont, OH 43420-3224

Phone

(419) 334-6619

Fax

(419) 334-6663

NPI assigned

Mar 21, 2011

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)

Enrolled

State licenses

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1982903647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S TAFT AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203237",
            "telephone_number": "419-334-6619",
            "fax_number": "419-334-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CLEVELAND AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203224",
            "telephone_number": "419-334-6619",
            "fax_number": "419-334-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "CLARISSA",
        "credential": "PCC, LPCC, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0500480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margie a. Thomas
• Mary Wonderly MD LLC
• Inge Marion Massie
• Margaret A Mathews, PT
• Mark A. Mathews, O.D.
• John M Mauric, D.O.
• Casey Thomas McConihe
• Andrew Michael McCormick
• Trina McKown
• Michael Scott Mead Sr., DDS

• Mental Health Counselor in Fremont, OH
• Providers in Fremont, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.