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Active NPI 1871964510 Individual Practitioner Male Practitioner

Matthew Fish , MA, LPC-INTERN

Counselor - Professional • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Matthew Fish, MA, LPC-INTERN is a registered healthcare professional specializing in Counselor - Professional in Dallas, TX. Practice services are available at 17210 CAMPBELL RD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17210 Campbell Rd Ste 200

Dallas, TX 752524214

Telephone 9722501700
Fax 9722501701
Associated Practice Facility / Clinic
🏢 Beckloff Pediatric Behavioral Center Facility NPI 1972971786

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
1282 Specialists

Practicing in Dallas, TX (21203 Statewide)

Telehealth Adoption Rate
2.5% 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 74679

Definition to come...

Practice Associates & Co-Workers

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

17 Associated Practitioners
Maggie Mitchell

Speech-Language Pathologist

NPI 1124864798
NPI 1144974205
Rebecca Carlson

Social Worker

NPI 1164208526
Kailey Mersbach , MS CCC-SLP

Speech-Language Pathologist

NPI 1184200958

MSCCCSLP

Zachary Grisham

Counselor - Mental Health

NPI 1184992596
Emily Bush

Counselor

NPI 1194182998

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active October 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2015

Registered at 17210 CAMPBELL RD STE 200, DALLAS, TX 752524214 (Tel: 9722501700)

📍
Updated Business Mailing Address October 07, 2015

Registered at 17210 CAMPBELL RD STE 200, DALLAS, TX 752524214 (Tel: 9722501700)

👤
Provider Name / Credentials Updated October 07, 2015

Recorded as MATTHEW FISH, MA, LPC-INTERN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2015

Counselor (License #74679 in TX)

🟢
Initial NPI Registration & Enumeration October 07, 2015

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: 1871964510
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2015
Last Update: October 07, 2015
Sole Proprietor: No
Update or Correct Profile

Mailing Address

17210 Campbell Rd Ste 200

Dallas, TX 752524214

Phone: 9722501700

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.