MR. MATTHEW KEITH SISSONS MA NPI 1710441829

NPI Information

NPI: 1710441829
Provider Name: MR. MATTHEW KEITH SISSONS, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
11 2ND ST SW
WADENA, MN
ZIP 56482
Phone: (320) 639-2025
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MR. Matthew Keith Sissons, MA is a mental health counselor in Wadena, MN with 6 years of experience. MR. Matthew Keith Sissons, MA NPI is 1710441829. 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:

11 2ND ST SW
WADENA, MN
ZIP 56482-482
Phone: (320) 639-2025

The NPI 1710441829 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/23/2019 and was last updated on 12/13/2023.

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	101Y00000X	Counselor		IMH17584	FLORIDA	No
2	101Y00000X	Counselor		MH21911	FLORIDA	No
3	101YM0800X	Counselor	Mental Health	3929	MINNESOTA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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