Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Fagan

Individual provider Mental Health Counselor · NPI 1902782097

Matthew Fagan is a Mental Health Counselor in Concord, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1025 Vinehaven Dr NE
Concord, NC 28025-2439
Phone: (704) 918-1343
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A21759 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence A21759 (NC)

Record details

NPI number1902782097
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 13, 2025
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

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