Matthew Travis Hendry, LCPC
Counselor, Professional in Rockland, ME. Individual provider (NPI-1).
NPI number1831492834
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1831492834
- Entity type
- Individual (NPI-1)
- Name
- Mr. Matthew Travis Hendry
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2010
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | CC4890 | ME | Yes |
Practice location
120 Tillson Ave Ste 214Rockland, ME 04841-3400
Phone 801-369-5060
Mailing address
330 East 400 SouthSuite 1
Springville, UT 84663
Phone 801-369-5060
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