Active NPI
Matthew Pollard, NCC, LPC
- Professional Counselor
- Fayetteville, PA
National Provider Identifier
1386416196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC015861
- Practice address
- 626 Coldspring Rd
Fayetteville, PA 17222-9755 - Phone
- (717) 496-1894
- NPI assigned
- Oct 25, 2023
- Sex
- Male
- 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 | PC015861 | PA | Primary |
Addresses
Primary practice location
626 Coldspring Rd
Fayetteville, PA 17222-9755
Mailing address
626 Coldspring Rd
Fayetteville, PA 17222-9755
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC015861 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1386416196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 COLDSPRING RD",
"city": "FAYETTEVILLE",
"state": "PA",
"postal_code": "172229755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 COLDSPRING RD",
"city": "FAYETTEVILLE",
"state": "PA",
"postal_code": "172229755",
"telephone_number": "717-496-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "MATTHEW",
"credential": "NCC, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC015861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, PA
- Paul Douglas Orange, M.D.
- Paramount Health Holdings Group, Inc.
- Paramount Nursing and Rehabilitation at Fayetteville, LLC
- Passage Village of Laurel Run Operations, LLC
- Piney Partners LP
- Rite Aid of Pennsylvania LLC
- John Jospeh Rodriguez, P.T.A.
- Adam Patrick Rowland, M.S. CCC-SLP
- Meredith Jean Schellhase, PA-C
- Monica Scoville Tudorache, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.