Active NPI
Joanna Poistrasagocs Matthews, MED
- Professional Counselor
- King of Prussia, PA
National Provider Identifier
1235899402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC014012
- Practice address
- 210 Mall Blvd
King of Prussia, PA 19406-3261 - Phone
- (484) 808-5340
- NPI assigned
- Dec 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC014012 | PR | Primary |
Addresses
Primary practice location
210 Mall Blvd
King of Prussia, PA 19406-3261
Mailing address
1377 Argyle Rd
Berwyn, PA 19312-1951
Phone (267) 994-3704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250717002494 | PA | Practitioner - Mental Health Counselor | 9537674528 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC014012 | PR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mhmo, Inc. | Current | Accepting new patients |
Locations
740 Springdale Dr
Ste 102
Exton, PA 19341
Phone (610) 524-0780
2250 Hickory Rd
Ste 100
Plymouth Meeting, PA 19462
523 Plymouth Rd
Ste 215
Plymouth Mtng, PA 19462
Phone (610) 825-9400
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": "1640736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1235899402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 ARGYLE RD",
"city": "BERWYN",
"state": "PA",
"postal_code": "193121951",
"telephone_number": "267-994-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MALL BLVD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063261",
"telephone_number": "484-808-5340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "JOANNA",
"middle_name": "POISTRASAGOCS",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-29",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PR",
"license": "PC014012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.