Jeanne Nicole Matucheski
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Braddock, PA
NPI 1124291877 · NPPES record last updated Apr 4, 2008
Key facts
- NPI
- 1124291877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 400 Holland Ave
Braddock, PA 15104-1599 - Phone
- (412) 636-5708
- Fax
- (412) 636-5705
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- New Directions Mental Health, PC
Practice addresses (Care Compare)
4727 Friendship Ave
Suite 180
Pittsburgh, PA 15224-1778
Phone (412) 203-4835
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250827000013 | PA | Practitioner - Mental Health Counselor | 3678073244 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Directions Mental Health, PC | Current |
Accepting new patients | |
| Associates in Behavioral Diagnostics and Treatment, LLC | Past | Accepting new patients | |
| Intercare Health Systems, LTD, Dba Intercare Psychiatric Services | Past | Accepting new patients |
Locations
110 Hidden Valley Rd
McMurray, PA 15317
Phone (724) 941-4040
2516 Jane St
#200
Pittsburgh, PA 15203
Phone (412) 265-1131
4727 Friendship Ave
Ste 180
Pittsburgh, PA 15224
Phone (412) 203-4835
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
400 Holland Ave
Braddock, PA 15104-1599
Mailing address
400 Holland Ave
Braddock, PA 15104-1599
Phone (412) 636-5708
Other providers in Braddock, PA
- Matthew Macdonald
- Jobie Mack
- Richard Madoni
- Mama Coburn'S Loving Hands
- Tameeka Lashawn Mason
- Mitchel L. McCandlish
- Jo Ann McClain
- Patricia Margaret McFarland
- Cynthia McGettigan
- William McGowan
All providers in Braddock, PA · Addiction (Substance Use Disorder) Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.