MATTHEW RYAN DELAMATTER (M.A.) – Professional Counselor, NPI 1891091211

MATTHEW RYAN DELAMATTER (M.A.) is a healthcare provider. based in Maplewood, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A.. They hold a License No. CC00987 (MN). The NPI Number for MATTHEW RYAN DELAMATTER (M.A.) is 1891091211

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW RYAN DELAMATTER (M.A.)
NPI
1891091211
Phone
(651) 748-5019
Address
2115 COUNTY ROAD D E
Enumeration Date
2 February 2011
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6123140349
Graduation Year
2010 (16 years ago)
PAC ID
2567908551
Group Practice PAC ID
6204178528
Professional Enrollment ID
I20240726000158
Address ID
MN554452758BR6800XNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for MATTHEW RYAN DELAMATTER (M.A.)

  • 2115 COUNTY ROAD D E

    SUITE B

    MAPLEWOOD, MN 551095353

    Phone: (651) 748-5019

    Fax: (651) 773-7591

    Mailing address matches the actual address.

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: 2024-07-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240726000158IMental Health CounselorMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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 55109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204178528View full group profile
NameSpecialtyState
Nurse PractitionerMN
Clinical PsychologistAK
Nurse PractitionerMN
Mental Health CounselorMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

Can I verify MATTHEW RYAN DELAMATTER (M.A.) with an NPI only?
You can start verification with NPI 1891091211 for MATTHEW RYAN DELAMATTER (M.A.), then check state licensing separately.
Does the file indicate MATTHEW RYAN DELAMATTER (M.A.) is practicing under active NPI?
Directory data currently reports MATTHEW RYAN DELAMATTER (M.A.) as active.
What is MATTHEW RYAN DELAMATTER (M.A.)'s primary classification?
Professional Counselor is the headline specialty for MATTHEW RYAN DELAMATTER (M.A.) here. Clinical services aligned with this taxonomy classification.
What address line appears for MATTHEW RYAN DELAMATTER (M.A.)?
MATTHEW RYAN DELAMATTER (M.A.)'s geographic hint is Maplewood, Minnesota in our summary view.
Why does MATTHEW RYAN DELAMATTER (M.A.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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