Active NPI
Matthew Balaban, MS, LPC, NCC, CADC
- Professional Counselor
- Hanover, PA
National Provider Identifier
1013591510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC013280
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Post Wellness, LLC | Professional | Current | Accepting new patients |
| Bowman and Associates, LLC | Professional | Current | Accepting new patients |
| Family Foundation Center LLC | Past | 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.
-
- Clinical Social Worker
- Union Bridge, MD
- NPI 1659008522
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.