JOSHUA MATTA (NPI# 1407496771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407496771 |
| Entity Type | Individual |
| Full Name | JOSHUA MATTA |
| Practice Address |
380 Suwannee Trail St Bowling Green KY 42103-7956 |
| Practice Telephone | 2709015000 |
| Practice Fax Number | 2708425268 |
| Mailing Telephone | 2709015000 |
| Mailing Fax Number | 2708425268 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623733 | Joshua Brian Matta | Registered Nurse | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2020-09-09 |
| Street Address |
380 SUWANNEE TRAIL ST |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-7956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669401816 | Lifeskills, Inc. | Community/Behavioral Health | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2006-07-01 |
| 1932700549 | Sydney Wilson | Rehabilitation Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-11-02 |
| 1497360473 | Melissa Costa | Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-09-15 |
| 1881210789 | Rachel Carroll | Case Manager/Care Coordinator | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-06-17 |
| 1457986549 | Matthew Howerton | Rehabilitation Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-03-09 |
| 1114551421 | Candace Lillpop-simmons | Social Worker | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-02-25 |
| 1609415629 | Ashley Marie Davis | Rehabilitation Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-12-23 |
| 1902445828 | Amber Malone | Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-12-23 |
| 1366098303 | James Shields | Rehabilitation Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-08-15 |
| 1043866239 | Londa Stockton | Social Worker | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323990 | Agency A Wellness Center | Counselor | 305 Business Highway 61 N, Bowling Green, MO 63334-1301 | 2020-07-16 |
| 1306303904 | Curtis Andrew Peet | Counselor | 219 S Church St, Bowling Green, OH 43402-2816 | 2019-03-01 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1417310608 | Cody Haynes | Counselor | 380 Suwannee Tail St, Bowling Green, KY 42103-7956 | 2016-04-04 |
| 1811339914 | Ky Steps LLC | Counselor | 2815 Russellville Rd, Bowling Green, KY 42101-3960 | 2013-07-18 |
| 1528363660 | Theresa Marie Weber | Counselor | 1616 E. Wooster Street, Bowling Green, OH 43402-3466 | 2011-01-21 |
| 1265756167 | Candi M Bainbridge | Counselor | 1344 Ironwood Dr, Bowling Green, KY 42103-6251 | 2010-03-22 |
| 1053502674 | Monica A Birsen | Counselor | 1010 N Prospect, Bowling Green, OH 43402 | 2007-08-08 |
| 1528267622 | Sara Elizabeth Grim | Counselor | 320 W Gypsy Lane Rd, Bowling Green, OH 43402-4572 | 2007-07-17 |
| 1902932320 | Jason Ryan Herring | Counselor | 942 Searcy Way, Bowling Green, KY 42103 | 2007-02-27 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
Please comment or provide details below to improve the information on JOSHUA MATTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.