Individual provider Active NPI

Holley Rachelle Matthews, LPC

  • Professional Counselor
  • Wheat Ridge, CO
National Provider Identifier
1992019012
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5565 Issued in CO
Practice address
4251 Kipling St Unit 180
Wheat Ridge, CO 80033-2883
Phone
(720) 375-4113
NPI assigned
Jul 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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 5565 CO Primary

Addresses

Primary practice location

4251 Kipling St Unit 180
Wheat Ridge, CO 80033-2883

Mailing address

4251 Kipling St Unit 180
Wheat Ridge, CO 80033-2883
Phone (720) 375-4113

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
5565COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Counseling and Wellness Center Professional CurrentSince Sep 15, 2024 Accepting new patients

Locations

4251 Kipling St
Unit 180
Wheat Ridge, CO 80033
Phone (303) 424-7914

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": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1992019012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 180",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332883",
            "telephone_number": "720-375-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 180",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332883",
            "telephone_number": "720-375-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "HOLLEY",
        "middle_name": "RACHELLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.