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Deactivated NPI 1124527429 Deactivated / Inactive NPI Male Practitioner

Matthew Lewis Thibodeaux , BA, CT

Counselor • Cincinnati, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Matthew Thibodeaux has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 02, 2018
NPI Deactivation Date January 06, 2020
Total Practice Duration ~2 Years of Practice (2018 – 2020)

Professional Overview & Biography Verified Profile Summary

Matthew Thibodeaux, BA, CT was a registered Counselor practicing in Cincinnati, OH. Throughout an active medical career spanning 2 years, Matthew Thibodeaux provided care at the practice location at 2347 VINE STREET until profile deactivation on 2020-01-06.

Practice Location & Contact Primary Location

Practice Address

2347 Vine Street

Cincinnati, OH 45219

Telephone 5136211117
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
300 Specialists

Practicing in Cincinnati, OH (4163 Statewide)

Telehealth Adoption Rate
1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Nicole Broomfield

Case Manager/Care Coordinator

NPI 1003439415
Audrianaha Bundy

Case Manager/Care Coordinator

NPI 1013602317
Brooke Caudill

Case Manager/Care Coordinator

NPI 1023971009
Yailen Morris

Counselor

NPI 1033711817
Katelyn Baker

Counselor - Professional

NPI 1033958616
Michelle Krotine , MA, LPC, CR

Counselor - Professional

NPI 1043613037

Master of Arts, Licensed Professional Counselor, CR

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active February 02, 2018

NPI status registered as active in NPPES database

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Updated Practice Location February 02, 2018

Registered at 2347 VINE STREET, CINCINNATI, OH 45219 (Tel: 5136211117)

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Updated Business Mailing Address February 02, 2018

Registered at 11542 RAPHAEL PL, CINCINNATI, OH 452402016 (Tel: 5139030490)

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Provider Name / Credentials Updated February 02, 2018

Recorded as MATTHEW THIBODEAUX, BA, CT

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2018

Counselor

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Initial NPI Registration & Enumeration February 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124527429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2018
Last Update: February 02, 2018
Deactivation Date: January 06, 2020

Mailing Address

11542 Raphael Pl

Cincinnati, OH 452402016

Phone: 5139030490

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.