MEGAN SOFIA MATAMOROS LPCC
NPI 1356005151
Counselor - Professional in Culver City, CA

Q: What is Megan Matamoros's NPI number?

The NPI number for Megan Matamoros is 1356005151. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Q: What is Megan Matamoros's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Megan Matamoros was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since October 27, 2021PECOS Enrolled

4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 390-6612(310) 398-5690 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2024, Oct 3, 2024 (2 updates tracked since 2024).

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About Megan Sofia Matamoros Lpcc NPPES

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

MEGAN SOFIA MATAMOROS LPCC (NPI 1356005151) is an individual professional provider in Culver City, California, licensed in California (16127) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1356005151

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMEGAN SOFIA MATAMOROSCredential: LPCC

Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820

Mailing Address323 N Prairie AveInglewood, CA 90301-4502

Phone(310) 390-6612

Fax(310) 398-5690

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 27, 2021

Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration

NPPES CertifiedOctober 10, 2024

✔ NPI 1356005151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · 16127

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 7756 (CA)

4760 SEPULVEDA BLVD, Culver City, CA 90230

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Secondary Practice Locations 2

Location 130302 EsperanzaRancho Santa Margarita, CA 92688-2118 · Phone (562) 419-4239

Location 2323 N Prairie AveInglewood, CA 90301-4502 · Phone (310) 677-7808 ext. 5313

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Megan Sofia Matamoros Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830601533

PECOS Enrollment IDI20250626001138

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 20

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

VERONICA FUENTES

Case Manager/Care Coordinator