Active NPI
Kent C Matthies
- Mental Health Counselor
- Bala Cynwyd, PA
National Provider Identifier
1063376077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MF001754
- Practice address
- 191 Presidential Blvd Ste W10
Bala Cynwyd, PA 19004-1205 - Phone
- (215) 840-1306
- NPI assigned
- Dec 13, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MF001754 | PA | Primary |
Addresses
Primary practice location
191 Presidential Blvd Ste W10
Bala Cynwyd, PA 19004-1205
Mailing address
7225 Orwell Rd
Philadelphia, PA 19119-3339
Phone (215) 840-1306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MF001754 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765584000000",
"number": "1063376077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7225 ORWELL RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193339",
"telephone_number": "215-840-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 PRESIDENTIAL BLVD STE W10",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041205",
"telephone_number": "215-840-1306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHIES",
"first_name": "KENT",
"middle_name": "C",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-13",
"last_updated": "2025-12-13",
"certification_date": "2025-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "MF001754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.