MR. MATT BALKWILL BS, QMHA - NPI 1144511882 - Counselor in Klamath Falls, OR

Q: What is Matt Balkwill's NPI number?

The NPI number for Matt Balkwill is 1144511882. It was assigned to this individual provider in the NPPES registry on April 28, 2011.

Q: What is Matt Balkwill's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Matt Balkwill was last updated on April 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Matt Balkwill Bs, Qmha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MATT BALKWILL BS, QMHA (NPI 1144511882) is an individual mental health provider in Klamath Falls, Oregon and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1144511882

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. MATT BALKWILLCredential: BS, QMHA

Location Address2545 N ELDORADO AVEKlamath Falls, OR 97601-6423

Mailing Address2545 N Eldorado AveKlamath Falls, OR 97601-6423 · (541) 883-3471

Phone(541) 883-3471

Sole ProprietorYes

Enumeration DateApril 28, 2011

✔ NPI 1144511882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2545 N ELDORADO AVE, Klamath Falls, OR 97601

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Other Identifiers 1

Medicaid090450OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASEY LOCKE CADC II

Counselor (Addiction (Substance Use Disorder))