Matthew Keith Sissons, MA
NPI 1710441829ActiveIndividual· Counselor, Mental Health· Wadena, MN
Counselor, Mental Health (MA) with Northern Pines Mental Health Center Inc, practicing in Wadena, Minnesota. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1710441829 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA |
| Sole proprietor | No |
| NPI issued | Jan 23, 2019 |
| Last updated in NPPES | Dec 13, 2023 |
| Certified by provider | Dec 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 3929 | MN |
| Counselor | 101Y00000X | IMH17584 | FL |
| Counselor | 101Y00000X | MH21911 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Northern Pines Mental Health Center IncLittle Falls, MN · 11 clinicians
Other Counselor, Mental Health providers in Wadena
- 1578582565
- 1023691896
- 1912183567
- 1033343587
- 1316123276
- 1205041050
- 1639665623
- 1578779682
- 1306022199
- 1710144266
- 1114184561
- 1609316355