Individual provider Active NPI

Matt Wayne Pierce

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1982960100
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5929 N May Ave Ste 506
Oklahoma City, OK 73112-3925
Phone
(405) 947-7555
Fax
(580) 242-4697
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5929 N May Ave Ste 506
Oklahoma City, OK 73112-3925

Mailing address

5929 N May Ave Ste 506
Oklahoma City, OK 73112-3925
Phone (405) 947-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303000998 OK Practitioner - Mental Health Counselor 1850812215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Counseling Group by M & M, LLC CurrentSince Feb 24, 2025 Accepting new patients
Canadian County Collaborative LLC Current Accepting new patients

Locations

416 S Mustang Rd
Ste B
Yukon, OK 73099
Phone (405) 254-7746

Organizations & group practices 2

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1982960100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 N MAY AVE STE 506",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123925",
            "telephone_number": "405-947-7555",
            "fax_number": "580-242-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 N MAY AVE STE 506",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123925",
            "telephone_number": "405-947-7555",
            "fax_number": "580-242-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MATT",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.