Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MATTHEW BACCHUS LPC
NPI 1831984186
Counselor - Professional in Fort Worth, TX

Active since April 09, 2025Opted out of Medicare · through Apr 30, 2027
2632 PROSPECT RIDGE DR, FORT WORTH, TX 76110(915) 497-8495 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Apr 9, 2025 (2 updates tracked since 2025).

About Matthew Bacchus Lpc NPPES

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

MATTHEW BACCHUS LPC (NPI 1831984186) is an individual professional provider in Fort Worth, Texas, licensed in Texas (LPC.101075) and active in the NPI registry since April 2025. He has opted out of Medicare through April 30, 2027.

NPPES Registry Identity

NPI1831984186
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW BACCHUSCredential: LPC
Location Address2632 PROSPECT RIDGE DRFort Worth, TX 76110-2575
Mailing Address2632 Prospect Ridge DrFort Worth, TX 76110-2575
Sole ProprietorYes
Enumeration DateApril 9, 2025
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1831984186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in TX · LPC.101075 Licensed in CO · PC.0022108
2632 PROSPECT RIDGE DR, Fort Worth, TX 76110

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Matthew Bacchus Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 30, 2025 through April 30, 2027.

Opt-Out Effective DateApril 30, 2025
Opt-Out In Effect ThroughApril 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Matthew Bacchus's NPI number?

The NPI number for Matthew Bacchus is 1831984186. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Matthew Bacchus located?

Matthew Bacchus practices at 2632 Prospect Ridge Dr, Fort Worth, TX 76110. The listed phone number is (915) 497-8495.

What is Matthew Bacchus's specialty?

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

Is Matthew Bacchus enrolled in Medicare?

No. Matthew Bacchus has opted out of Medicare through April 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Matthew Bacchus was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.