ELIZAVETA MATIACH (MS, LPM) – Clinical Psychologist, NPI 1255421004

ELIZAVETA MATIACH (MS, LPM) is a healthcare provider. based in Morrisville, Vermont. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LPM. They hold a License No. 047.0000698 (VT). The NPI Number for ELIZAVETA MATIACH (MS, LPM) is 1255421004

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
ELIZAVETA MATIACH (MS, LPM)
NPI
1255421004
Phone
(802) 888-5639
Address
609 Washington Hwy
Enumeration Date
13 October 2006
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028887585
Graduation Year
1989 (37 years ago)
PAC ID
6406209972
Group Practice PAC ID
4789586942
Professional Enrollment ID
I20240131003733
Address ID
VT056618652MO609XXHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

362 MENTAL HEALTH COUNSELOR in VT

Provider Addresses for ELIZAVETA MATIACH (MS, LPM)

  • 609 Washington Hwy

    Morrisville, VT 056618652

    Phone: (802) 888-5639

    Fax: (802) 888-6040

    Type: Location

  • 1878 Mountain Rd

    Stowe, VT 056724776

    Phone: (802) 253-4853

    Fax: (802) 888-1759

    Type: Location

  • 607 WASHINGTON HWY

    MORRISVILLE, VT 056618652

    Phone: (802) 888-8320

    Fax: (802) 888-8136

    Type: Location

  • 749, Keystone Park Drive, Morrisville, Durham County, North Carolina, 27560, United States

    MORRISVILLE, VT 056610749

    Phone: (802) 851-8619

    Fax: (802) 851-8716

    Type: Mailing

  • 65, Northgate Plaza, Morristown, Lamoille County, Vermont, 05661, United States

    SUITE 11

    MORRISVILLE, VT 056615900

    Phone: (802) 888-8320

    Fax: (802) 888-8136

    Type: Location

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: 2024-01-31

PECOS data refreshed: 2026-06-15

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
I20240131003733IMental Health CounselorVTTBD

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 05661)

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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: 4789586942View full group profile
NameSpecialtyState
-VT
Clinical Social WorkerVT
Family PracticeVT
Family Practice, Obstetrics/GynecologyVT
Family PracticeVT
Nurse PractitionerVT
Physician AssistantVT
Pediatric MedicineMA
Family PracticeVT
-VT

Reviews

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Frequently asked questions

What is the 10-digit NPI for ELIZAVETA MATIACH (MS, LPM)?
ELIZAVETA MATIACH (MS, LPM) — NPI 1255421004 — is the standard way to identify this listing.
Does CMS list ELIZAVETA MATIACH (MS, LPM) as active?
Yes — ELIZAVETA MATIACH (MS, LPM) is active in the NPI listing used on this page.
What healthcare role does ELIZAVETA MATIACH (MS, LPM) hold?
Scheduling teams often label ELIZAVETA MATIACH (MS, LPM) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect ELIZAVETA MATIACH (MS, LPM) on a map?
Expect Morrisville, Vermont as a primary anchor for ELIZAVETA MATIACH (MS, LPM) unless the record lists multiple sites.
Why does ELIZAVETA MATIACH (MS, LPM) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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