Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083755201 Individual Practitioner Male Practitioner

Matthew Glenn Eubanks , LPC

Counselor - Professional • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Matthew Eubanks, LPC is a registered healthcare professional specializing in Counselor - Professional in Fort Worth, TX. Practice services are available at 3840 HULEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3840 Hulen St

Fort Worth, TX 761077277

Telephone 8173353022
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.9 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
783 Specialists

Practicing in Fort Worth, TX (21203 Statewide)

Telehealth Adoption Rate
2.2% 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

CMS Verified: 2022-03-30
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 84238

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License KY 0304

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30615058 (KY)

Secondary Practice Locations

2311 Fortune Dr

Lexington, KY 405094264

Phone: 8592531686

Practice Associates & Co-Workers

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

40 Associated Practitioners
Colleen Johnson , LCDC

Counselor - Addiction (Substance Use Disorder)

NPI 1003411182

Licensed Chemical Dependency Counselor

Lauren Galipp , OT

Occupational Therapist

NPI 1003500406

Occupational Therapist

Beth Owens , RN

Registered Nurse

NPI 1003571266

Registered Nurse

Bonnesha Dever , RN

Registered Nurse

NPI 1003697806

Registered Nurse

Deborah Rocha , RN

Registered Nurse

NPI 1003769456

Registered Nurse

Michael Markum

Counselor - Addiction (Substance Use Disorder)

NPI 1013488154

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 05, 2020

Registered at 3840 HULEN ST, FORT WORTH, TX 761077277 (Tel: 8173353022)

📍
Updated Business Mailing Address October 05, 2020

Registered at PO BOX 2603, FORT WORTH, TX 761132603 (Tel: 8175694300)

👤
Provider Name / Credentials Updated October 05, 2020

Recorded as MATTHEW EUBANKS, LPC

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 2311 FORTUNE DR, LEXINGTON, KY 405094264 (Tel: 8592531686)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1351 NEWTOWN PIKE, LEXINGTON, KY 405111217 (Tel: 8592531686)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MATTHEW EUBANKS, LPCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #0304 in KY)

🟢
Initial NPI Registration & Enumeration February 09, 2007

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: 1083755201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2007
Last Update: March 30, 2022
Sole Proprietor: No

Mailing Address

Po Box 2603

Fort Worth, TX 761132603

Phone: 8175694300

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.