AMANDA INES MATOS MA, LPC
NPI 1790436855
Counselor - Professional in Dallas, TX
NPI Status: Active since January 11, 2022
Contact Information
12720 HILLCREST RD STE 106
DALLAS, TX
ZIP 75230
Phone: (469) 206-9285
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- Opted-Out Medicare
About AMANDA MATOS
This page provides the complete NPI Profile along with additional information for Amanda Matos, a provider established in Dallas, Texas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1790436855 assigned on January 2022. The practitioner's primary taxonomy code is 101YP2500X with license number 80478 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1790436855
- Provider Name
- AMANDA INES MATOS MA, LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12720 HILLCREST RD STE 106 DALLAS, TX 75230
- Location Phone
- (469) 206-9285
- Mailing Address
- 12810 HILLCREST RD # B123 DALLAS, TX 75230
- Mailing Phone
- (469) 206-9285
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-11-2022
- Last Update Date
- 10-12-2022
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Amanda Matos opted out of Medicare effective on 01-26-2024 until 01-26-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 80478
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard Guided Care - HMO
- Silver Simple Chronic Care CKM Guided Care - HMO
- Silver Simple Diabetes Guided Care - HMO
- Silver Simple Guided Care - HMO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver Guided Care - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-26-2024
Opt-Out End Date: 01-26-2026
Eligible to Order and Refer? No
Reviews for AMANDA INES MATOS MA, LPC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 4 | 3 | 6 | 8 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 8 | 3 | 12 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 8 + 3 + 1 + 2 + 8 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1790436855 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356843593 | DR. BRITTANY ESCURIEX PH.D. Individual | Psychologist (Counseling) | 12720 HILLCREST RD STE 106 DALLAS, TX 75230 (214) 417-5328 |
| 1396376760 | STACEY APPIAH-OPOKU LPC Individual | Counselor (Professional) | 12720 HILLCREST RD STE 106 DALLAS, TX 75230 (469) 275-1548 |
| 1568029734 | EMPOWERED HEALING DALLAS Organization | Psychologist (Counseling) | 12720 HILLCREST RD STE 106 DALLAS, TX 75230 (214) 417-5328 |
| 1295270205 | LUIS PEREZ LPC, LCDC Individual | Counselor (Professional) | 12720 HILLCREST RD STE 106 DALLAS, TX 75230 (469) 251-4646 |
| 1356944938 | DR. ALEXAVERY RAINER HAWKINS PSYCHOLOGIST Individual | Psychologist | 12720 HILLCREST RD STE 106 DALLAS, TX 75230 (469) 505-3620 |
| 1467935767 | SAPNA PATEL PH.D. Individual | Psychologist | 12720 HILLCREST RD STE 106 DALLAS, TX 75230 (214) 755-4580 |
| 1447961677 | DR. ALEXANDRA ANNE LARKS PH.D. Individual | Psychologist (Counseling) | 12720 HILLCREST RD STE 106 DALLAS, TX 75230 (469) 251-4646 |
| 1013144252 | PRACHI SHARMA PSYD Individual | Psychologist | 12720 HILLCREST RD STE 106 DALLAS, TX 75230 (469) 251-4646 |
| 1912725649 | KIRA DAMEWOOD LPC Individual | Counselor (Mental Health) | 12720 HILLCREST RD STE 106 DALLAS, TX 75230 (469) 251-4646 |
| 1801500939 | MELISSA ADRIANNE KRAFT LPC Individual | Counselor (Professional) | 12720 HILLCREST RD STE 106 DALLAS, TX 75230 (469) 251-4646 |
| 1225837842 | HILARY ANN HARRIS M.A., LPC-ASSOCIATE Individual | Counselor (Mental Health) | 12720 HILLCREST RD STE 106 DALLAS, TX 75230 (469) 240-2898 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790436855, enumerated in the NPI registry as an "individual" on January 11, 2022
The provider is located at 12720 Hillcrest Rd Ste 106 Dallas, Tx 75230 and the phone number is (469) 206-9285
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Oscar Insurance Company and UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on January 26, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 26, 2026.
This NPI record was last updated on January 11, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.