NPIMap

Organization Active NPI

Matt Shollenberger, PHD PC

Doing business as Confidential Counseling. org

  • Professional Counselor
  • Wyomissing, PA
National Provider Identifier
1063706315
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC002868 Issued in PA
Legal business name
MATT SHOLLENBERGER, PHD PC
Doing business as
Confidential Counseling. org
Practice address
833 North Park Road Suite 204
Wyomissing, PA 19610
Phone
(484) 459-6423
Fax
(484) 388-4359
NPI assigned
Jun 3, 2011
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Dr. Matt Shollenberger, PH.D.NPI 1063514875
Title
Owner/Counselor
Phone
(484) 459-6423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC002868 PA Primary

Addresses

Primary practice location

833 North Park Road Suite 204
Wyomissing, PA 19610

Mailing address

833 N Park Rd Ste 204
Wyomissing, PA 19610-1341
Phone (484) 459-6423

Other identifiers 6

IdentifierTypeStateIssuer
2290709OtherPACIGNA
7784522OtherPAAETNA
592454000OtherPAKEYSTONE
2319238000OtherPAIBC
2750535OtherPAHIGHMARK BLUE SHIELD
50102905OtherPACAPITAL BLUE CROSS

Other names 1

  • Confidential Counseling. org Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Matt Shollenberger PHD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

833 N Park Rd
Ste 204
Wyomissing, PA 19610
Phone (484) 459-6423

845 N Park Rd
Ste 100
Wyomissing, PA 19610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1063706315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 N PARK RD STE 204",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101341",
            "telephone_number": "484-459-6423",
            "fax_number": "484-388-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NORTH PARK ROAD SUITE 204",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "484-459-6423",
            "fax_number": "484-388-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT SHOLLENBERGER, PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "SHOLLENBERGER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "484-459-6423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC002868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2290709",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7784522",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "592454000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2319238000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2750535",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50102905",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Confidential Counseling. org",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.