MARK ALAN MATTHEWS (NPI# 1710085634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710085634 |
| Entity Type | Individual |
| Full Name | MARK ALAN MATTHEWS |
| Credential | MA, LPC |
| Practice Address |
1515 N Stephenson Hwy Royal Oak MI 48067-1526 |
| Mailing Address |
28000 Dequindre Rd Warren MI 48092-2468 |
| Practice Telephone | 2485426070 |
| Practice Fax Number | 2485423210 |
| Mailing Telephone | 5867530405 |
| Mailing Fax Number | 5867530404 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401006744 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790218196 | Mark Matthews | Counselor | 1233 E Mount Pleasant Rd Apt 504, Zachary, LA 70791 | 2017-04-04 |
| 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 |
| 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 |
1515 N STEPHENSON HWY |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922116938 | Ascension Eastwood Behavioral Health | Substance Abuse Rehabilitation Facility | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-08-29 |
| 1912287772 | Michael Maysura | Counselor | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2011-08-25 |
| 1861680456 | Jennifer Rose Humphreys | Social Worker | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2007-10-09 |
| 1386708402 | Margaret Ann Butler | Social Worker | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-12-21 |
| 1851499776 | Daniel Joseph Grogan | Social Worker | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
| 1831297738 | Larry Duane Mccarrick | Counselor | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
| 1609974518 | Heather Anne Rye | Social Worker | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
| 1124126032 | Nancy Sue Messer | Counselor | 1515 N Stephenson Hwy, Royal Oak, MI 48067-1526 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| 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 |
|---|---|---|---|---|
| 1700494721 | Living Water Forever, Pllc | Counselor | 1710 E 12 Mile Rd Ste 101, Royal Oak, MI 48073-4200 | 2020-07-15 |
| 1255958450 | Andrea Sandles | Counselor | 1500 N Stephenson Hwy Ste 240, Royal Oak, MI 48067-1584 | 2020-07-03 |
| 1861025249 | Erica Renee Carulli | Counselor | 1923 Ardmore Ave, Royal Oak, MI 48073-4179 | 2020-02-13 |
| 1003344565 | Alison Christine Maples | Counselor | 3315 N Campbell Rd Ste 200, Royal Oak, MI 48073-2803 | 2017-05-30 |
| 1770919359 | Jennifer Lauren Hurley | Counselor | 824 W 13 Mile Rd, Royal Oak, MI 48073-2463 | 2013-09-16 |
| 1740408244 | Ascension Eastwood Behavioral Health | Counselor | 30701 Woodward Avenue, Suite 200, Royal Oak, MI 48073-0987 | 2007-04-23 |
| 1972135549 | Elisabeth Lauren Rzepkowski | Counselor | 1424 E 11 Mile Rd, Royal Oak, MI 48067-2026 | 2020-02-11 |
| 1003469644 | Latasha J Spencer | Counselor | 30701 Woodward Ave Ste 200, Royal Oak, MI 48073-0990 | 2019-07-23 |
| 1114579208 | Monique Jackson | Counselor | 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 | 2019-07-10 |
| 1811456734 | Brenda Basel Brikho | Counselor | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2019-03-19 |
| Find all providers in ROYAL OAK | ||||
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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.