MEDICARE: MATHEW FRANCIS MCCUE III

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	LPC0019811	CO

General Provider Information

NPI Number	:	1437026630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATHEW FRANCIS MCCUE III

Provider Business Mailing Address
First Line	:	503 ROWE LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80911-2624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 W 13TH ST
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81003-1975
Country	:	US
Telephone Number	:	719-583-5560
Fax Number	:

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

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	10/21/2025

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