MEDICARE: MARTIN MATHEWS LCDCIII, CADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCDCIII.161910	OH

General Provider Information

NPI Number	:	1093276032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN MATHEWS LCDCIII, CADC

Provider Business Mailing Address
First Line	:	6460 HARRISON AVE STE 200
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-7821
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6460 HARRISON AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45247-7821
Country	:	US
Telephone Number	:	513-941-4999
Fax Number	:

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

Provider Enumeration Date	:	03/30/2019
Last Update Date	:	10/10/2025

Similar Medicare Providers

1487302501 — DAWNYEL RAE BAILEY LPN
Practice Location Address:

6460 HARRISON AVE
CINCINNATI, OH
45247-7821

Practice Phone: 513-941-4999
Practice Fax:

1366221384 — KRISTIN MILLER
Practice Location Address:

6460 HARRISON AVE
CINCINNATI, OH
45247-7821

Practice Phone: 513-941-4999
Practice Fax:

1588444202 — SHERRY CHILDERS
Practice Location Address:

4561 ELIZABETH ST
CINCINNATI, OH
45242-7821

Practice Phone: 513-628-4500
Practice Fax:

1912865205 — BERNARD KING
Practice Location Address:

7719 DALEVIEW RD
CINCINNATI, OH
45247-3453

Practice Phone: 513-675-6842
Practice Fax:

1053279182 — TYLER PARRISH DMD WHITE OAK LLC
Practice Location Address:

8111 CHEVIOT RD STE 102
CINCINNATI, OH
45247-4013

Practice Phone: 513-715-2026
Practice Fax:

1407719305 — AMY HYLAND CNP
Practice Location Address:

6949 GOOD SAMARITAN DR
CINCINNATI, OH
45247-5204

Practice Phone: 513-931-2400
Practice Fax: 513-931-0132

Directions to “ MARTIN MATHEWS LCDCIII, CADC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.