MATTHEW SHIPP (NPI# 1023630795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023630795 |
| Entity Type | Individual |
| Full Name | MATTHEW SHIPP |
| Practice Address |
501 Greenhill Blvd Nw Ste 15 Fort Payne AL 35967-8502 |
| Practice Telephone | 2564102750 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C3494A | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326420282 | Matthew Rolland Shipp | Physical Therapist | 211 W 33rd St Ste A, Kearney, NE 68845-3484 | 2015-06-26 |
| Street Address |
501 GREENHILL BLVD NW STE 15 |
| City | FORT PAYNE |
| State | AL |
| Zip Code | 35967-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073086922 | Ft Payne Careplus, LLC | Clinic/Center | 3000 Gault Ave North, Ft Payne, AL 35967 | 2019-01-03 |
| 1851739023 | Marlon Chad Williamson | Emergency Medicine | 617 Gault Ave N, Fort Payne, AL 35967 | 2013-06-11 |
| 1447552401 | Karole Kelley Ohme | Counselor | 216 Gault Avenue N, Relationship Clinic, Fort Payne, AL 35967 | 2010-11-24 |
| 1720112014 | Dekalb County Mr Board | Case Management | 117 First St Nw, Fort Payne, AL 35967 | 2007-03-16 |
| 1447275490 | Glynn Whiddon Odom | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967 | 2006-07-12 |
| 1477521698 | Michael Ray Parker | Optometrist | 900 Gault Ave S, Fort Payne, AL 35967 | 2006-03-14 |
| 1144204843 | Dale Ray Stierwalt | Family Medicine | 1618 Gault Ave. N., Fort Payne, AL 35967 | 2005-12-06 |
| 1417951112 | Barton Drake Ibsen | Physical Therapist | 121 Drinkard Dr, Fort Payne, AL 35967 | 2005-06-09 |
| 1407363146 | Tyson Scott Rainer | Nurse Practitioner | 1040 Glenn Blvd Sw, Fort Payne, AL 35967 | 2018-01-03 |
| 1801336599 | Caitlin Kirby | Massage Therapist | 216 Gault Ave N, Fort Payne, AL 35967 | 2017-03-01 |
| Find all providers in zip 35967 | ||||
| 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 |
|---|---|---|---|---|
| 1144613985 | Adiel Cory Brewster-greenstein | Counselor | 1655 Country Road 79, Attn: Dr. Cory Brewster-greenstein, Fort Payne, AL 35967-6510 | 2015-03-17 |
| 1003139809 | Brooke Allison Bowen | Counselor | 301 14th St Nw, Fort Payne, AL 35967-3155 | 2010-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809843 | Jessica N Dieken | Counselor | 2659 Rocky Ridge Lane, Birmingham, AL 35216 | 2020-10-21 |
| 1396351433 | Ashley Brook Loftis | Counselor | 2834j Pelham Pkwy, Pelham, AL 35124-1707 | 2020-09-22 |
| 1003420563 | Ellis Bernstein | Counselor | 3336 E Briarcliff Rd, Mountain Brk, AL 35223-1307 | 2020-09-02 |
| 1508479064 | Rochelle Peterson | Counselor | 711 Halcyon Park Dr Suite B, Montgomery, AL 36117-7714 | 2020-08-25 |
| 1619589603 | New Vision Counseling, Inc | Counselor | 1470 N Bank Pkwy Ste 166, Tuscaloosa, AL 35406-2448 | 2020-08-20 |
| 1376153890 | Mckenzie Counseling Services LLC. | Counselor | 2300 Raintree Ct Apt E, Center Point, AL 35215-3624 | 2020-08-10 |
| 1821607656 | Kylie Grethen Howell | Counselor | 300 Office Park Dr Ste 205, Mountain Brk, AL 35223-2473 | 2020-07-28 |
| 1568071801 | Laura Taylor Stisher | Counselor | 101 Lowe Ave Se, Huntsville, AL 35801-4236 | 2020-07-22 |
| 1932717378 | Jessica Epperson | Counselor | 3055 Lorna Rd Ste 200, Vestavia Hills, AL 35216-4513 | 2020-07-22 |
| 1245858885 | Keshawna Swinton | Counselor | 300 Columbia Hwy, Dothan, AL 36301-1726 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT PAYNE |
| Zip Code | 35967 |
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| 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.