Matthew Kevin Sitosky, M.ED., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012109 Issued in PA

Practice address

627 Wood St
Clarion, PA 16214-1543

Phone

(814) 226-4171

NPI assigned

Jan 15, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1003446238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SWANK LN",
            "city": "RURAL VALLEY",
            "state": "PA",
            "postal_code": "162491813",
            "telephone_number": "724-422-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 WOOD ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141543",
            "telephone_number": "814-226-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITOSKY",
        "first_name": "MATTHEW",
        "middle_name": "KEVIN",
        "credential": "M.ED., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Clarion, PA
• Providers in Clarion, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.