MR. MATTHEW T. GREY MA LCPC LPCCDCC NPI 1295060002

NPI Information

NPI: 1295060002
Provider Name: MR. MATTHEW T. GREY, MA, LCPC, LPCC,DCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
521 S 11TH ST
SPRINGFIELD, IL
ZIP 62703
Phone: (217) 557-4411
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MR. Matthew T. Grey, MA, LCPC, LPCC,DCC is a professional counselor in Springfield, IL. MR. Matthew T. Grey, MA, LCPC, LPCC,DCC NPI is 1295060002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

521 S 11TH ST
SPRINGFIELD, IL
ZIP 62703-304
Phone: (217) 557-4411
Fax: (217) 782-3227

The enumeration date for this NPI number is 10/12/2009 and was last updated on 1/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	180.010767	ILLINOIS	No
2	101YM0800X	Counselor	Mental Health	CCMH0193871	NEW MEXICO	No
3	101YP2500X	Counselor	Professional	180.010767	ILLINOIS	Yes
4	101YP2500X	Counselor	Professional	CCMH0193871	NEW MEXICO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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