ETHAN MATSON (NPI# 1073854071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073854071 |
| Entity Type | Individual |
| Full Name | ETHAN MATSON |
| Practice Address |
1602 Timberline Dr Durant OK 74701-2339 |
| Practice Telephone | 5809168604 |
| Mailing Telephone | 5809168604 |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1602 TIMBERLINE DR |
| City | DURANT |
| State | OK |
| Zip Code | 74701-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215395520 | Bryant Adams | Counselor | 1701 W Beech St, Durant, OK 74701-3623 | 2016-02-01 |
| 1043676901 | Megan Jackson | Counselor | 1308 N 1st Ave # A, Durant, OK 74701-2813 | 2016-01-07 |
| 1083070395 | Clara Rutledge | Counselor | 1705 N Washington Ave Ste D, Durant, OK 74701-2100 | 2016-01-04 |
| 1558757278 | Janet Cobb | Counselor | 134 12th Street, Durant, OK 74701 | 2015-04-09 |
| 1265856470 | Tracie Doyal | Counselor | 33744 State Road 78, Durant, OK 74701-9277 | 2014-02-07 |
| 1366703324 | Payton Glen Guthrie | Counselor | 424 1/2 N. 4th, Durant, OK 74701-0000 | 2012-06-06 |
| 1346509825 | Lucy Phillips | Counselor | 715 Nth 1st, Durant, OK 74701 | 2012-05-03 |
| 1760767537 | Sherry Anne Hagan | Counselor | 1604 N. Washington, Durant, OK 74701 | 2011-10-12 |
| 1942580287 | Janice Rae Gibson | Counselor | 1604 N. Washinton, Durant, OK 74701 | 2011-08-18 |
| 1245528504 | Amanda Valgren | Counselor | 715 Nth 1st St, Durant, OK 74701 | 2011-07-20 |
| Find all providers in DURANT | ||||
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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.