MATTHEW THATCHER (L.P.C.) – Mental Health Counselor, NPI 1285917997
Mental Health Counselor
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,023 MENTAL HEALTH COUNSELOR in MI
Provider Addresses for MATTHEW THATCHER (L.P.C.)
333 W WESTERN AVE STE 5
MUSKEGON, MI 494401266
Phone: (616) 202-2138
Type: Mailing
1514 Wealthy St SE Ste 242
Grand Rapids, MI 495062755
Phone: (616) 202-2138
Fax: (616) 228-8990
Type: Location
509 Franklin Ave
Grand Haven, MI 494171400
Phone: (616) 202-2138
Fax: (616) 228-8990
Type: Location
2625 Butterfield Rd
Suite 138s
Oak Brook, IL 605231234
Phone: (630) 528-3821
Fax: (630) 528-3805
Type: Location
1514 WEALTHY ST SE STE 242
GRAND RAPIDS, MI 495062755
Phone: (616) 202-2138
Fax: (616) 228-8990
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240122000814 | I | Mental Health Counselor | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49440)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI |
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