KERRY MATTHEWS LCSW
NPI 1578442968
Counselor - Mental Health in Jensen Beach, FL

Active since August 29, 2025PECOS EnrolledAccepts Medicare Assignment
1601 NE SUCCESS DR, JENSEN BEACH, FL 34957(772) 320-0770 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kerry Matthews Lcsw NPPES

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

KERRY MATTHEWS LCSW (NPI 1578442968) is an individual mental health provider in Jensen Beach, Florida, licensed in Florida (SW24825) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1578442968
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKERRY MATTHEWSCredential: LCSW
Location Address1601 NE SUCCESS DRJensen Beach, FL 34957-5345
Mailing Address1601 Ne Success DrJensen Beach, FL 34957-5345 · (772) 341-9460
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 29, 2025
Last NPPES UpdateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1578442968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · SW24825
1601 NE SUCCESS DR, Jensen Beach, FL 34957

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kerry Matthews Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507330941
PECOS Enrollment IDI20260707001870
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 Reassignment

Medicare enrollment records show Kerry Matthews reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
827 DAY AVE SW
Roanoke, VA 24016
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group

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 4

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

Counselor (Mental Health)
1601 NE SUCCESS DR
JENSEN BEACH, FL 34957
Counselor (Mental Health)
1601 NE SUCCESS DR
JENSEN BEACH, FL 34957
Counselor (Mental Health)
1601 NE SUCCESS DR
JENSEN BEACH, FL 34957
Nurse Practitioner (Psychiatric/Mental Health)
1601 NE SUCCESS DR
JENSEN BEACH, FL 34957

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 Kerry Matthews's NPI number?

The NPI number for Kerry Matthews is 1578442968. It was assigned to this individual provider in the NPPES registry on August 29, 2025.

Where is Kerry Matthews located?

Kerry Matthews practices at 1601 NE Success Dr, Jensen Beach, FL 34957. The listed phone number is (772) 320-0770.

What is Kerry Matthews's specialty?

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

Is Kerry Matthews enrolled in Medicare?

Yes. Kerry Matthews is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kerry Matthews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Matthews reassigns Medicare benefits to Red Thread Center Inc (Roanoke, VA). The 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 Kerry 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 Kerry Matthews was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.