Individual provider Active NPI

Matthew Pozniak, LPC

  • Counselor
  • Winchester, VA
National Provider Identifier
1104376938
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701006774 Issued in VA
Practice address
817 Cedar Creek Grade
Suite 202
Winchester, VA 22601-6460
Phone
(540) 450-2734
Fax
(540) 450-2735
NPI assigned
Oct 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701006774 VA Primary

Addresses

Primary practice location

817 Cedar Creek Grade
Suite 202
Winchester, VA 22601-6460

Mailing address

817 Cedar Creek Grade
Suite 202
Winchester, VA 22601-6460
Phone (540) 450-2734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325000064 VA Practitioner - Mental Health Counselor 1153805445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aevum BH VA LLCGroup PAC ID 3274067210, 35 clinicians

Practice addresses (Care Compare)

173 Brockman Park Dr
Amherst, VA 24521-2583
Phone (804) 446-1710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701006774VAMDCounselor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1104376938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CEDAR CREEK GRADE",
            "address_2": "SUITE 202",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016460",
            "telephone_number": "540-450-2734",
            "fax_number": "540-450-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 CEDAR CREEK GRADE",
            "address_2": "SUITE 202",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016460",
            "telephone_number": "540-450-2734",
            "fax_number": "540-450-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZNIAK",
        "first_name": "MATTHEW",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701006774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.