MATTHEW AYCOCK - NPI 1801515424 - Marriage & Family Therapist in Louisville, MS

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Matthew Aycock NPPES

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

MATTHEW AYCOCK (NPI 1801515424) is an individual marriage & family therapist in Louisville, Mississippi, licensed in Mississippi (T11683) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1801515424

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMATTHEW AYCOCK

Location Address16220 W MAIN STLouisville, MS 39339-2639

Mailing Address5458 Old Robinson RdLouisville, MS 39339-7464 · (662) 773-9377

Phone(662) 773-9377

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 25, 2022

Last NPPES UpdateOctober 23, 20253 updates tracked since enumeration

NPPES CertifiedOctober 23, 2025

✔ NPI 1801515424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MS · T11683

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

16220 W MAIN ST, Louisville, MS 39339

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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 Aycock 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 ID1951899228

PECOS Enrollment IDI20251021000028

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.

REKEKA TATE MS

Counselor (Mental Health)