Individual provider Active NPI

Matthew E Sprong, PHD, LCPC, CRC, CADC

  • Mental Health Counselor
  • Stroudsburg, PA
National Provider Identifier
1093137440
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC014797 Issued in PA
Practice address
134 Broad St Ste 2
Stroudsburg, PA 18360-1590
Phone
(570) 856-4232
NPI assigned
Jan 19, 2014
Reactivated
Aug 1, 2025
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC014797 PA Primary
Professional Counselor 101YP2500X 180.008817 IL

Addresses

Primary practice location

134 Broad St Ste 2
Stroudsburg, PA 18360-1590

Mailing address

134 Broad St Ste 2
Stroudsburg, PA 18360-1590
Phone (815) 993-8724

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC014797PAMDMental Health Counselor
180.008817ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Black Lotus Counseling Center Current Accepting new patients
Midwest Forensic Vocational Rehabilitation and Life Care Planning Cons Mental Health CurrentSince Dec 10, 2023 Accepting new patients
Comprehensive Rehabilitation Services, Inc Past Accepting new patients
Positive Intentions, LLC Mental Health PastSince Jan 1, 2023 Accepting new patients

Locations

15 S Old State Capitol Plz
Springfield, IL 62701
Phone (815) 993-8724

2431 Bethany Rd
Ste B
Sycamore, IL 60178
Phone (815) 517-1585

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1390089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1093137440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BROAD ST STE 2",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601590",
            "telephone_number": "815-993-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BROAD ST STE 2",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601590",
            "telephone_number": "570-856-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRONG",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD, LCPC, CRC, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-19",
        "last_updated": "2025-08-01",
        "certification_date": "2023-02-08",
        "deactivation_date": "2025-04-15",
        "reactivation_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014797",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.