MEDICARE: KORINNE MATTHEWS LCPC

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	CC7233	ME

General Provider Information

NPI Number	:	1861336281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KORINNE MATTHEWS LCPC

Provider Business Mailing Address
First Line	:	PO BOX 190
Second Line	:
City	:	HOULTON
State	:	ME
Zip	:	04730-0190
Country	:	US
Telephone Number	:	207-538-3868
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 BIRD ST
Second Line	:
City	:	HOULTON
State	:	ME
Zip	:	04730-2402
Country	:	US
Telephone Number	:	207-538-3868
Fax Number	:

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

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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