MATT FERGUSON
NPI 1902426596
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Joplin, MO

Active since April 23, 2020
925 E 12TH ST, JOPLIN, MO 64801(417) 680-4651 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2025, Apr 23, 2020 (2 updates tracked since 2020).

About Matt Ferguson NPPES

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

MATT FERGUSON (NPI 1902426596) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Joplin, Missouri and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1902426596
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameMATT FERGUSON
Location Address925 E 12TH STJoplin, MO 64801-4977
Mailing Address925 E 12th StJoplin, MO 64801-4977 · (417) 680-4651
Sole ProprietorYes
Enumeration DateApril 23, 2020
Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
NPI 1902426596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
925 E 12TH ST, Joplin, MO 64801

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
925 E 12TH ST
JOPLIN, MO 64801

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 Matt Ferguson's NPI number?

The NPI number for Matt Ferguson is 1902426596. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Matt Ferguson located?

Matt Ferguson practices at 925 E 12th St, Joplin, MO 64801. The listed phone number is (417) 680-4651.

What is Matt Ferguson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Matt Ferguson was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.