MEDICARE: MS. MEGAN M MATTHEWS LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	E.1901523	OH

General Provider Information

NPI Number	:	1184149148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEGAN M MATTHEWS LPCC

Provider Business Mailing Address
First Line	:	1600 LAKELAND AVE
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-3819
Country	:	US
Telephone Number	:	216-849-1857
Fax Number	:	844-444-1157

Provider Business Practice Location Address
First Line	:	1397 WARREN RD
Second Line	:	SUITE 1
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-2570
Country	:	US
Telephone Number	:	216-849-1857
Fax Number	:	844-444-1157

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2017
Last Update Date	:	06/04/2026

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