MEDICARE: NATALIE MATTHIS 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	1316	KY
2	101YP2500X	Professional Counselor	103165	KY

General Provider Information

NPI Number	:	1558600908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE MATTHIS LPCC

Provider Business Mailing Address
First Line	:	2816 VEACH RD STE 208
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-6299
Country	:	US
Telephone Number	:	270-314-8206
Fax Number	:	270-228-0430

Provider Business Practice Location Address
First Line	:	2816 VEACH RD STE 208
Second Line	:
City	:	OWENSBORO
State	:	KY
Zip	:	42303-6299
Country	:	US
Telephone Number	:	270-314-8206
Fax Number	:	270-228-0430

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

Provider Enumeration Date	:	02/05/2013
Last Update Date	:	01/14/2026

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Directions to “ NATALIE MATTHIS LPCC” Practice Location

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