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AUTUMN MATTHEWS
NPI 1336682517
Counselor - Professional in Modesto, CA

Active since November 21, 2016PECOS Enrolled
100 POPLAR AVE, MODESTO, CA 95354(209) 523-4573 Get Directions Write a Review

NPPES record last updated: December 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Autumn Matthews NPPES

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

AUTUMN MATTHEWS (NPI 1336682517) is an individual professional provider in Modesto, California, licensed in California (MFTI 95821) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336682517
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAUTUMN MATTHEWS
Location Address100 POPLAR AVEModesto, CA 95354-0510
Mailing Address16424 Delwood CtDelhi, CA 95315-9531
Phone(209) 523-4573
Sole ProprietorNo
Enumeration DateNovember 21, 2016
Last NPPES UpdateDecember 6, 2016
✔ NPI 1336682517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · MFTI 95821
100 POPLAR AVE, Modesto, CA 95354
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Matthews is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Autumn Matthews reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC
54 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Sud Specialty Group - Ca
56 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Forward Wellness Family Therapy, Inc.
314 mi
Community/Behavioral Health
1041 E YORBA LINDA BLVD STE 202
Placentia, CA 92870
  • Reassigned Medicare billing, California enrollment
  • 150 clinicians in this Medicare group
NPI 1093398059 (800) 701-0937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. HOLLY KATHLEEN CHAPMAN A.A., B.A,
Student in an Organized Health Care Education/Training Program
100 POPLAR AVE
MODESTO, CA 95354
Stanislaus County (209) 550-5869
COUNTY OF STANISLAUS
Community/Behavioral Health
100 POPLAR AVE
MODESTO, CA 95354
Stanislaus County (209) 558-7494
CHRISTINE MAGNU
Marriage & Family Therapist
100 POPLAR AVE
MODESTO, CA 95354
Stanislaus County (209) 523-4573
MRS. DINA BRAMBILA
Student in an Organized Health Care Education/Training Program
100 POPLAR AVE
MODESTO, CA 95354
Stanislaus County (209) 550-5869
YAHAIRA JUDITH ANDRADE
Counselor (Mental Health)
100 POPLAR AVE
MODESTO, CA 95354
Stanislaus County (209) 550-5850
ZAYRA Y DELGADILLO REYNOSO
Community Health Worker
100 POPLAR AVE
MODESTO, CA 95354
Stanislaus County (209) 380-0203
MARLENE VILLEDA
Counselor (Mental Health)
100 POPLAR AVE
MODESTO, CA 95354
Stanislaus County (209) 550-5869
MONICA MARTINEZ
Case Manager/Care Coordinator
100 POPLAR AVE
MODESTO, CA 95354
Stanislaus County (209) 523-4573

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 Autumn Matthews's NPI number?

The NPI number for Autumn Matthews is 1336682517. It was assigned to this individual provider in the NPPES registry on November 21, 2016.

Where is Autumn Matthews located?

Autumn Matthews practices at 100 Poplar Ave, Modesto, CA 95354. The listed phone number is (209) 523-4573.

What is Autumn Matthews's specialty?

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

Is Autumn Matthews enrolled in Medicare?

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

Which organizations bill Medicare for Autumn Matthews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Matthews reassigns Medicare benefits to 3 organizations: Grow Healthcare Group PC (San Jose, CA), Sud Specialty Group - Ca (Santa Clara, CA) and Forward Wellness Family Therapy, Inc. (Placentia, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Autumn Matthews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Autumn Matthews was last updated on December 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.