Individual provider Active NPI

Matthew Maneul Rosario, LPC, LSATP, CSOTP

  • Mental Health Counselor
  • Front Royal, VA
National Provider Identifier
1184499220
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704016523 Issued in VA
Practice address
405 N Royal Ave
Front Royal, VA 22630-2619
Phone
(540) 583-3211
NPI assigned
Nov 20, 2023
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704016523 VA Primary

Addresses

Primary practice location

405 N Royal Ave
Front Royal, VA 22630-2619

Mailing address

405 N Royal Ave
Front Royal, VA 22630-2619
Phone (540) 583-3211

Other identifiers 1

IdentifierTypeStateIssuer
30018609980001MedicaidVA

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
I20260413002219 VA Practitioner - Mental Health Counselor 4688149164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 N Royal Ave
Front Royal, VA 22630-2619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704016523VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clearhorizon Forensic and Counseling Group, LLC CurrentSince Jan 27, 2026 Accepting new patients

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, 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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1184499220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N ROYAL AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302619",
            "telephone_number": "540-583-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N ROYAL AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302619",
            "telephone_number": "540-583-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "MATTHEW",
        "middle_name": "MANEUL",
        "name_prefix": "Dr.",
        "credential": "LPC, LSATP, CSOTP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704016523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30018609980001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.