Active NPIIndividual providerSole proprietor

Mr. Kevin J Matawa, MA, LPC

Counselor, Professional in Wood Ridge, New Jersey

NPI Number1992327902
Practice location
450 Highland Ave, Wood Ridge, NJ 07075-1212
Fax
—
Last updated
May 13, 2020

Kevin Joseph Matawa is a Counselor, Professional based in Wood Ridge, NJ. Kevin Joseph Matawa practices in Wood Ridge, NJ and has the professional credentials of MA, LPC. The NPI Number for Kevin Joseph Matawa is 1992327902 and holds a License No. 37PC00718300 (NJ). The current practice location address for Kevin Joseph Matawa is 450 Highland Ave, Wood Ridge, NJ 07075-1212 and can be reached out via phone at 551-246-1502.

Provider Profile Details

NPI Number
1992327902
Provider Name
Kevin Joseph Matawa
Credential
MA, LPC
Provider Entity Type
Individual
Gender
Male
Address
450 Highland Ave, Wood Ridge, NJ 07075-1212
Phone Number
551-246-1502
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
May 13, 2020
Last Update Date
May 13, 2020
Certification Date
May 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Highland Ave
Wood Ridge, NJ 07075-1212
Zip
07075-1212
Phone Number
551-246-1502
Wood Ridge, NJ 07075Get directions →

Provider Business Mailing Address Details

Address
450 Highland Ave
Wood Ridge, NJ 07075-1212
City
Wood Ridge
State
NJ
Zip
07075-1212
Phone Number
551-246-1502

License Information

License Number
37PC00718300
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kevin J Matawa, MA, LPC?

The NPI number of Mr. Kevin J Matawa, MA, LPC is 1992327902. It was assigned on May 13, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Kevin J Matawa, MA, LPC?

Mr. Kevin J Matawa, MA, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00718300.

Where does Mr. Kevin J Matawa, MA, LPC practice?

The practice location is 450 Highland Ave, Wood Ridge, NJ 07075-1212. The office can be reached at 551-246-1502 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992327902 directly on the NPPES registry website.

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