Provider Demographics
NPI:1801131917
Name:BARON, MATTHEW (MA LPC CAADC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:BARON
Suffix:
Gender:
Credentials:MA LPC CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1637 W BIG BEAVER RD STE C
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-3540
Mailing Address - Country:US
Mailing Address - Phone:586-207-7821
Mailing Address - Fax:
Practice Address - Street 1:1637 W BIG BEAVER RD STE C
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-3540
Practice Address - Country:US
Practice Address - Phone:586-207-7821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013383101YA0400X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)