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MATTHEW CALVIN BALTAZAR
NPI 1154173649
Counselor in Benton Harbor, MI

Active since April 05, 2024
1485 M 139, BENTON HARBOR, MI 49022(269) 925-0585(269) 927-1326 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Calvin Baltazar NPPES

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

MATTHEW CALVIN BALTAZAR (NPI 1154173649) is an individual counselor in Benton Harbor, Michigan and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1154173649
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMATTHEW CALVIN BALTAZAR
Location Address1485 M 139Benton Harbor, MI 49022-5711
Mailing Address9359 Fox RunBerrien Center, MI 49102-8706 · (269) 369-8239
Phone(269) 925-0585
Fax(269) 927-1326
Sole ProprietorYes
Enumeration DateApril 5, 2024
NPPES CertifiedApril 5, 2024
✔ NPI 1154173649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1485 M 139, Benton Harbor, MI 49022
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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.

JACQUELINE R BONARDI
Counselor (Mental Health)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
MS. AMBER KAY FERGISON
Social Worker (Clinical)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
SAMUEL SAINT-PHARD
Behavior Technician
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
APRIL K REYBUCK RN
Registered Nurse (Psychiatric/Mental Health)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 934-0119
SHANIYA HINES
Peer Specialist
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 985-0585
THERESE ZITTA
Occupational Therapist
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
MR. DAVID ANDREW LAWRENCE MSW
Social Worker
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585

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 Matthew Baltazar's NPI number?

The NPI number for Matthew Baltazar is 1154173649. It was assigned to this individual provider in the NPPES registry on April 5, 2024.

Where is Matthew Baltazar located?

Matthew Baltazar practices at 1485 M 139, Benton Harbor, MI 49022. The listed phone number is (269) 925-0585.

What is Matthew Baltazar's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Matthew Baltazar was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.