MATTHEW SHERIDAN
NPI 1649973116
Counselor in Jacksonville, FL

Active since March 23, 2023PECOS EnrolledAccepts Medicare Assignment
12443 SAN JOSE BLVD STE 604, JACKSONVILLE, FL 32223(904) 944-4625 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew Sheridan NPPES

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

MATTHEW SHERIDAN (NPI 1649973116) is an individual counselor in Jacksonville, Florida, licensed in Florida (MH21863) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649973116
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMATTHEW SHERIDAN
Location Address12443 SAN JOSE BLVD STE 604Jacksonville, FL 32223-8652
Mailing Address2120 Herschel St Apt AJacksonville, FL 32204-3879
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 23, 2023
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
NPI 1649973116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in FL · MH21863
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.

12443 SAN JOSE BLVD STE 604, Jacksonville, FL 32223

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Sheridan 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 ID9335582519
PECOS Enrollment IDI20240205001435
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 3

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

Nurse Practitioner (Psychiatric/Mental Health)
12443 SAN JOSE BLVD STE 604
JACKSONVILLE, FL 32223
Nurse Practitioner (Psychiatric/Mental Health)
12443 SAN JOSE BLVD STE 604
JACKSONVILLE, FL 32223
Social Worker (Clinical)
12443 SAN JOSE BLVD STE 604
JACKSONVILLE, FL 32223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649973116, enumerated as an "individual" on March 23, 2023.

The provider is located at 12443 SAN JOSE BLVD STE 604 JACKSONVILLE, FL 32223 and the phone number is (904) 944-4625.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.