Individual provider Active NPI

Matthew Balaban, MS, LPC, NCC, CADC

  • Professional Counselor
  • Hanover, PA
National Provider Identifier
1013591510
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC013280 Issued in PA
Practice address
10 Oak Hills Dr
Hanover, PA 17331-9739
Phone
(410) 952-2888
NPI assigned
May 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC013280 PA Primary

Addresses

Primary practice location

10 Oak Hills Dr
Hanover, PA 17331-9739

Mailing address

10 Oak Hills Dr
Hanover, PA 17331-9739
Phone (410) 952-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112002563 PA Practitioner - Mental Health Counselor 3870944929 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Old Post Wellness, LLC Professional Current Accepting new patients
Bowman and Associates, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Family Foundation Center LLC PastSince Jan 1, 2024 Accepting new patients

Locations

141 Broadway
Ste 230
Hanover, PA 17331
Phone (410) 952-2888

327 Broadway
Hanover, PA 17331
Phone (717) 632-1800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bowman and Associates, LLC 7 clinicians

Practice addresses (Care Compare)

327 Broadway
Hanover, PA 17331-2505
Phone (717) 632-1800

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1013591510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OAK HILLS DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173319739",
            "telephone_number": "410-952-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OAK HILLS DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173319739",
            "telephone_number": "410-952-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALABAN",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MS, LPC, NCC, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.