MATTHEW SHERIDAN
NPI 1649973116
Counselor in Jacksonville, FL

Q: What is Matthew Sheridan's NPI number?

The NPI number for Matthew Sheridan is 1649973116. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Matthew Sheridan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Sheridan was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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: August 16, 2026.

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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

Phone(904) 944-4625

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 5

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

JUSTIN TORRES PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)