Matthew Ryan Shupp, ED.D., NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC011273 Issued in PA

Practice address

28 S Pitt St
Carlisle, PA 17013-3211

Phone

(717) 448-3483

NPI assigned

Sep 25, 2019

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1063063634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 OLD MAIN DR",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172572200",
            "telephone_number": "717-477-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S PITT ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133211",
            "telephone_number": "717-448-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPP",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "ED.D., NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara L. Shore, D.M.D
• Andrea Cox Shukla, PT
• Haley Shulenberger, RN, BSN
• Shanna Rhae Shull, RD
• Lynn A. Shumaker, RN
• Shurfine Walnut Bottom
• Faisal A Siddiqui, M.D.
• Amanda L Sigrist
• Samantha Nicole Silva, PA-C
• Christopher Sims, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.