MARK MATTHEWS (NPI# 1790218196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790218196 |
| Entity Type | Individual |
| Full Name | MARK MATTHEWS |
| Practice Address |
1233 E Mount Pleasant Rd Apt 504 Zachary LA 70791 |
| Mailing Address |
1233 E Mount Pleasant Rd Apt 504 Zachary LA 70791-5928 |
| Practice Telephone | 2253614723 |
| Mailing Telephone | 2253614723 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2018-05-15 |
| 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 | ||
| N | 171M00000X | Case Manager/Care Coordinator | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 000000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013101914 | Mark A. Matthews | Licensed Practical Nurse | 6310 7th Ave, 6313 7th Avenue, Los Angeles, CA 90043-4275 | 2007-09-04 |
| 1457716797 | Mark Matthews | Counselor | 340 Nw 5th St, Box 1710, Redmond, OR 97756-1869 | 2015-12-30 |
| 1609090471 | Mark Walker Matthews | Psychologist | 305 Miron Dr, Suite 400-a, Southlake, TX 76092-7831 | 2007-04-12 |
| 1467589499 | Mark K Matthews | Internal Medicine | 1375 E 20th Ave, Denver, CO 80205-5423 | 2007-02-27 |
| 1710085634 | Mark Alan Matthews | Counselor | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
| 1245348390 | Mark A Matthews | Internal Medicine | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2006-08-28 |
| 1780799312 | Mark James Matthews | Dentist | 214 Larkin St, Tomah, WI 54660-0606 | 2006-08-21 |
| 1245264647 | Mark Matthews | Radiology | 218 S Herlong Ave, Rock Hill, SC 29732-1158 | 2006-07-10 |
| 1760436455 | Mark Thomas Matthews | Family Medicine | 26501 Avenue 140, Porterville, CA 93258-2000 | 2006-05-19 |
| 1083694418 | Mark R Matthews | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2006-01-20 |
| Street Address |
1233 E MOUNT PLEASANT RD APT 504 |
| City | ZACHARY |
| State | LA |
| Zip Code | 70791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054110 | Amandalin Hopkins Whittington | Occupational Therapist | 4555 Bert St, Zachary, LA 70791 | 2020-02-07 |
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1902451131 | Edward Williams | Case Manager/Care Coordinator | 22749 Fairvway View Drive, Zachary, LA 70791 | 2019-08-05 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1629574447 | Darren Keith Ryland | Massage Therapist | 5037 Main St, Suite B, Zachary, LA 70791 | 2018-04-02 |
| 1306355102 | Radiation Oncology Center - Zachary | Clinic/Center | 6180 Main Street, Ste B, Zachary, LA 70791 | 2017-09-25 |
| 1861913568 | Sylvia Simone Henderson | Case Manager/Care Coordinator | 8932 Highland Oaks Ave, Zachary, LA 70791 | 2017-07-03 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
| Find all providers in zip 70791 | ||||
| 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 |
|---|---|---|---|---|
| 1891291787 | Ashley Nicole Gaston | Counselor | 8840 Reserve Oak Ave, Zachary, LA 70791-7472 | 2018-04-01 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
| 1427596345 | Charles Natt | Counselor | 2504 Colonial Way, Zachary, LA 70791 | 2017-02-11 |
| 1669918785 | Vivian Wright | Counselor | 22593 Old Scenic Hwy, Zachary, LA 70791-6223 | 2017-01-12 |
| 1447701941 | Devin Brown | Counselor | 20051 Old Scenic Hwy Apt 2509, Zachary, LA 70791-7383 | 2016-10-19 |
| 1750448668 | Michael N Gomila | Counselor | 5625 Fairway Dr, Zachary, LA 70791-2313 | 2007-01-02 |
| 1992152375 | Melissa Williams | Counselor | 4705 Secretary Dr, Suite A, Zachary, LA 70791-4070 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840444 | Bradford J Williams | Counselor | 624 S 16th St, Baton Rouge, LA 70802-4011 | 2020-10-28 |
| 1508466715 | Shona D Dyche | Counselor | 1324 Violet Ave, Bossier City, LA 71112-4639 | 2020-10-27 |
| 1861009979 | Monica H Fefie | Counselor | 1234 S Sanctuary Ave, Gonzales, LA 70737-4273 | 2020-09-23 |
| 1225644388 | Maya B Galathe | Counselor | 3476 Sweetwater Blvd Apt 3104, Addis, LA 70710-0220 | 2020-09-23 |
| 1255947883 | Vanessa Brown | Counselor | 12438 Lockhaven Ave, Baton Rouge, LA 70815-6537 | 2020-09-18 |
| 1710593538 | Deanna Mathews, Lpc, LLC | Counselor | 115 S Cypress St Ste A, Hammond, LA 70403-4234 | 2020-09-17 |
| 1215547443 | Ledford Enterprises, LLC | Counselor | 298 Woodland Circle, Calhoun, LA 71225 | 2020-08-03 |
| 1962020479 | Whites All Star Consultant | Counselor | 631 E 85th St, Shreveport, LA 71106-5819 | 2020-07-10 |
| 1508483256 | Erica T Carr | Counselor | 3837 Mercer Ln, Harvey, LA 70058-2134 | 2020-06-29 |
| 1932724713 | Restoring Light Counseling, LLC | Counselor | 3018 Old Minden Rd Ste 1113e, Bossier City, LA 71112-2476 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARK MATTHEWS.
| 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.