MATTHEW LEWIS THIBODEAUX (NPI# 1124527429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124527429 |
| Entity Type | Individual |
| Full Name | MATTHEW LEWIS THIBODEAUX |
| Credential | BA, CT |
| Practice Address |
2347 Vine Street Cincinnati OH 45219 |
| Mailing Address |
11542 Raphael Pl Cincinnati OH 45240-2016 |
| Practice Telephone | 5136211117 |
| Mailing Telephone | 5139030490 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| 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 |
|---|---|---|---|---|
| 1194249086 | Matthew Thibodeaux | Optometrist | 13322 Highway 90 Ste L, Boutte, LA 70039-3010 | 2017-08-01 |
| Street Address |
2347 VINE STREET |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639431042 | Health Resource Center of Cincinnati, Inc. | Clinic/Center | 2347 Vine Street, Cincinnati, OH 45219-1745 | 2012-06-12 |
| 1114435609 | Joan Murray | Counselor | 2347 Vine Street, Second Floor, Cincinnati, OH 45219-4521 | 2018-01-18 |
| 1316460686 | Hannah Lane Russell | Counselor | 2347 Vine Street, Cincinnati, OH 45219 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| 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 |
|---|---|---|---|---|
| 1669079596 | Jonathan David Kopech | Counselor | 2635 Jessup Rd, Cincinnati, OH 45239-6276 | 2020-10-05 |
| 1932715471 | Raquel Powell-lewis | Counselor | 1435 Vine St Apt 2, Cincinnati, OH 45202-7094 | 2020-09-21 |
| 1730729369 | Tyler Issac Mitchell | Counselor | 1978 Garden Ln Apt 3, Cincinnati, OH 45237-6045 | 2020-01-12 |
| 1073151841 | Ibrahim Kakish | Counselor | 1425 W Kemper Rd, Cincinnati, OH 45240-1630 | 2019-12-12 |
| 1053971705 | Pamela Strickland Quarles | Counselor | 47 E Hollister St Ste 102, Cincinnati, OH 45219-1840 | 2019-06-15 |
| 1386124980 | Tommie Maria Johnson | Counselor | 4531 Reading Rd Fl 2, Cincinnati, OH 45229-1229 | 2018-08-14 |
| 1194210120 | Viann Barnett | Counselor | 2401 Reading Rd, Cincinnati, OH 45202-1357 | 2018-06-22 |
| 1720595226 | Renee Johnson | Counselor | 9304 Bluegate Dr, Cincinnati, OH 45231-3331 | 2018-01-05 |
| 1891200689 | Lauren White | Counselor | 3129 Spring Grove Ave, Cincinnati, OH 45225-1821 | 2017-12-03 |
| 1912419730 | Nikita Bianca Brown | Counselor | 1748 Berkley Ave, Cincinnati, OH 45237-6114 | 2017-11-02 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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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.