Individual provider Active NPI

Matthew Widmann, LPC

  • Professional Counselor
  • Reading, PA
National Provider Identifier
1285281246
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010856 Issued in PA
Practice address
144 N 6TH St
Reading, PA 19601-3502
Phone
(610) 941-3390
NPI assigned
Aug 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 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 PC010856 PA Primary

Addresses

Primary practice location

144 N 6TH St
Reading, PA 19601-3502

Mailing address

1000 Germantown Pike Ste G5
Plymouth Meeting, PA 19462-2487
Phone (610) 941-3390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC010856PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Progressions Companies, Inc. PastSince Aug 25, 2019 Accepting new patients
Malvern Community Health Services Inc. PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 2

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1285281246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GERMANTOWN PIKE STE G5",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622487",
            "telephone_number": "610-941-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N 6TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013502",
            "telephone_number": "610-941-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDMANN",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.