ETHAN MATSON
NPI 1073854071
Counselor - Mental Health in Durant, OK
About Ethan Matson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN MATSON (NPI 1073854071) is an individual mental health provider in Durant, Oklahoma and active in the NPI registry since March 2013.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Matson's NPI number?
The NPI number for Ethan Matson is 1073854071. It was assigned to this individual provider in the NPPES registry on March 15, 2013.
Where is Ethan Matson located?
Ethan Matson practices at 1602 Timberline Dr, Durant, OK 74701. The listed phone number is (580) 916-8604.
What is Ethan Matson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Ethan Matson was last updated on March 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ethan Matson · NPI 1073854071
Mental Health provider in Durant, Oklahoma. Individual provider, active in the CMS NPPES registry since March 15, 2013.
## Identity
- **NPI:** 1073854071 (Entity type: Individual)
- **Enumerated:** March 15, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1602 TIMBERLINE DR, Durant, OK 74701-2339
- **Phone:** (580) 916-8604
## Record status
- **NPPES last updated:** March 15, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1073854071) · Data from the CMS NPPES public registry.