Clevens Mathieu
Counselor in Brockton, MA. Individual provider (NPI-1).
NPI number1326488552
StatusActive
Last updated in NPPESSep 17, 2015
Details
- NPI
- 1326488552
- Entity type
- Individual (NPI-1)
- Name
- Clevens Mathieu
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2013
- Last updated
- Sep 17, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
61 Sycamore AveBrockton, MA 02301
Phone 774-444-4808
Mailing address
61 Sycamore Ave Apt 2Brockton, MA 02301
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 155 Counselor providers in Brockton · All 5,090 providers in Brockton
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