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AUTUMN LEE MATSUTANI MA, CRC, LPC, NCC
NPI 1770252124
Counselor - Professional in Greeley, CO

Active since September 09, 2021
1306 11TH AVE, GREELEY, CO 80631(970) 347-2125 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2024, Apr 13, 2023, Sep 9, 2021 (3 updates tracked since 2021).

About Autumn Lee Matsutani Ma, Crc, Lpc, Ncc NPPES

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

AUTUMN LEE MATSUTANI MA, CRC, LPC, NCC (NPI 1770252124) is an individual professional provider in Greeley, Colorado, licensed in Colorado (0020371) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1770252124
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAUTUMN LEE MATSUTANICredential: MA, CRC, LPC, NCC
Location Address1306 11TH AVEGreeley, CO 80631-3835
Mailing Address1300 N 17th AveGreeley, CO 80631-9584 · (970) 347-2120
Phone(970) 347-2125
Sole ProprietorNo
Enumeration DateSeptember 9, 2021
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1770252124 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 CO · 0020371
1306 11TH AVE, Greeley, CO 80631
Open in Google Maps ↗

Other Names 1

Former Name (1)Autumn Lee Dern Ma, Crc, Lpcc, Ncc

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.

KIMBERLY HARRIS
Counselor (Mental Health)
1306 11TH AVE
GREELEY, CO 80631
Weld County (970) 347-2343
SANDRA MAYER
Counselor (Mental Health)
1306 11TH AVE
GREELEY, CO 80631
Weld County (970) 347-2120
DIANA PAULS
Counselor (Mental Health)
1306 11TH AVE
GREELEY, CO 80631
Weld County (970) 347-2120
KATIE ADRIANA LOMA GARCIA
Community Health Worker
1306 11TH AVE
GREELEY, CO 80631
Weld County (970) 347-2120
CATHY D KELLOGG BSW
Behavior Analyst
1306 11TH AVE
GREELEY, CO 80631
Weld County (970) 347-2125
BARBARA TABOR
Counselor (Mental Health)
1306 11TH AVE
GREELEY, CO 80631
Weld County (970) 347-2120
CHERYL MATAVA
Counselor (Mental Health)
1306 11TH AVE
GREELEY, CO 80631
Weld County (970) 347-2120
REGINA DANIELLE MINNER
Student in an Organized Health Care Education/Training Program
1306 11TH AVE
GREELEY, CO 80631
Weld County (970) 347-2125

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 Matsutani's NPI number?

The NPI number for Autumn Matsutani is 1770252124. It was assigned to this individual provider in the NPPES registry on September 9, 2021. The provider is also known as Autumn Lee Dern Ma, Crc, Lpcc, Ncc.

Where is Autumn Matsutani located?

Autumn Matsutani practices at 1306 11th Ave, Greeley, CO 80631. The listed phone number is (970) 347-2125.

What is Autumn Matsutani's specialty?

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

When was this NPI record last updated?

The NPPES record for Autumn Matsutani was last updated on March 7, 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.