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DR. DESTINEE MATTHEWS M.S.
NPI 1174989610
Counselor - Professional in Bastrop, LA

Active since January 13, 2016PECOS Enrolled
617 E MADISON AVE, BASTROP, LA 71220(318) 239-3890(318) 239-3891 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2023, Jan 18, 2023, Jun 27, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Destinee Matthews M.s. NPPES

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

DR. DESTINEE MATTHEWS M.S. (NPI 1174989610) is an individual professional provider in Bastrop, Louisiana, licensed in Louisiana (9261) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174989610
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. DESTINEE MATTHEWSCredential: M.S.
Location Address617 E MADISON AVEBastrop, LA 71220-3833
Mailing Address617 E Madison AveBastrop, LA 71220-3833 · (318) 239-3890 · Fax (318) 239-3891
Phone(318) 239-3890
Fax(318) 239-3891
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 13, 2016
Last NPPES UpdateJanuary 22, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1174989610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 9261
Also ListedCounselorTaxonomy 101Y00000X · License PLC9261 (LA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License PLC9261 (LA)
617 E MADISON AVE, Bastrop, LA 71220
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Destinee Matthews M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870071558
PECOS Enrollment IDI20260203002737
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

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

SHELIA EDWARDS
Case Manager/Care Coordinator
617 E MADISON AVE
BASTROP, LA 71220
Morehouse Parish (318) 239-3890
ALTRECIA MINGO
Case Manager/Care Coordinator
617 E MADISON AVE
BASTROP, LA 71220
Morehouse Parish (318) 239-3890
JENNIFER ROCHELLE GLOSSON
Case Manager/Care Coordinator
617 E MADISON AVE
BASTROP, LA 71220
Morehouse Parish (318) 239-3890
CLEOTHIS CUMMINGS
Case Manager/Care Coordinator
617 E MADISON AVE
BASTROP, LA 71220
Morehouse Parish (318) 239-3890
LAWANDA CEASAR M.A.
Counselor (Professional)
617 E MADISON AVE
BASTROP, LA 71220
Morehouse Parish (318) 239-3890
MS. WHITNEY T BROWN
Case Manager/Care Coordinator
617 E MADISON AVE
BASTROP, LA 71220
Morehouse Parish (318) 239-3890
BARBARA LYNETTE BAILEY
Case Manager/Care Coordinator
617 E MADISON AVE
BASTROP, LA 71220
Morehouse Parish (318) 239-3890
DR. ROCHELLE W GILBERT
Counselor
617 E MADISON AVE
BASTROP, LA 71220
Morehouse Parish (318) 239-3890

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 Destinee Matthews's NPI number?

The NPI number for Destinee Matthews is 1174989610. It was assigned to this individual provider in the NPPES registry on January 13, 2016.

Where is Destinee Matthews located?

Destinee Matthews practices at 617 E Madison Ave, Bastrop, LA 71220. The listed phone number is (318) 239-3890.

What is Destinee Matthews's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Destinee Matthews enrolled in Medicare?

Yes. Destinee Matthews is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Destinee Matthews was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.