Individual provider Active NPI

Matthew Ryan Clugh, MS, NCC, LPC

  • Professional Counselor
  • Boiling Springs, PA
National Provider Identifier
1255783957
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011186 Issued in PA
Practice address
20 Sheeley LN
Boiling Springs, PA 17007-9436
Phone
(717) 422-4396
NPI assigned
Jul 6, 2016
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011186 PA Primary

Addresses

Primary practice location

20 Sheeley LN
Boiling Springs, PA 17007-9436

Mailing address

20 Sheeley LN
Boiling Springs, PA 17007-9436
Phone (717) 422-4396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 25, 2025 through Sep 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC011186PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
RC Counseling LLC Professional PastSince Nov 10, 2019 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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1255783957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SHEELEY LN",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079436",
            "telephone_number": "717-422-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SHEELEY LN",
            "city": "BOILING SPRINGS",
            "state": "PA",
            "postal_code": "170079436",
            "telephone_number": "717-422-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUGH",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, PA

Sources for this page

Verify at the official NPI Registry.