MR. MATTHEW THEODORE REITER (MAED) – Professional Counselor, NPI 1063766954

MR. MATTHEW THEODORE REITER (MAED) is a healthcare provider. based in Boardman, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MAED. They hold a License No. C.1100134 (OH). The NPI Number for MR. MATTHEW THEODORE REITER (MAED) is 1063766954

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. MATTHEW THEODORE REITER (MAED)
NPI
1063766954
Phone
(330) 726-9570
Address
955 WINDHAM CT
Enumeration Date
31 October 2012
Last Update Date
31 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304249573
Graduation Year
2012 (14 years ago)
PAC ID
5698128544
Group Practice PAC ID
4385622265
Professional Enrollment ID
I20240127000446
Address ID
OH444328500LI40722154X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for MR. MATTHEW THEODORE REITER (MAED)

  • 955 WINDHAM CT

    BOARDMAN, OH 445125035

    Phone: (330) 726-9570

    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: 2024-01-27

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
I20240127000446IMental Health CounselorOHTBD

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 44512)

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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: 4385622265View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)OH
Clinical Social WorkerOH
Nurse PractitionerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Clinical PsychologistPA
Mental Health CounselorOH

Reviews

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Frequently asked questions

What unique ID ties claims to MR. MATTHEW THEODORE REITER (MAED)?
NPI 1063766954 is assigned to MR. MATTHEW THEODORE REITER (MAED) under the national enumeration system.
Is MR. MATTHEW THEODORE REITER (MAED) active in the national directory?
MR. MATTHEW THEODORE REITER (MAED)'s public NPI profile is in an active state.
What kind of provider is MR. MATTHEW THEODORE REITER (MAED)?
The page reflects Professional Counselor for MR. MATTHEW THEODORE REITER (MAED). Clinical services aligned with this taxonomy classification.
What location shows for MR. MATTHEW THEODORE REITER (MAED)?
We surface Boardman, Ohio for MR. MATTHEW THEODORE REITER (MAED) based on available NPPES addresses.
How can I contact MR. MATTHEW THEODORE REITER (MAED)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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