Active NPI
Courtney M Matoushek, LSW
- Counselor
- Scranton, PA
National Provider Identifier
1396229191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- SW131703
- Practice address
- 501 S Washington Ave Ste 1000
Scranton, PA 18505-3814 - Phone
- (570) 941-0630
- Fax
- (570) 343-3923
- NPI assigned
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | SW131703 | PA | Primary |
Addresses
Primary practice location
501 S Washington Ave Ste 1000
Scranton, PA 18505-3814
Mailing address
1418 Schlager St
Scranton, PA 18504-1565
Phone (570) 840-8330
Other practice location 1
102 N Abington Rd
Clarks Green, PA 18411-2300
Phone (570) 430-8204
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmatoushek@thewrightcenter.medentdirect.com | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW131703 | PA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CB Counseling LLC | Past | 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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1396229191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 SCHLAGER ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185041565",
"telephone_number": "570-840-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S WASHINGTON AVE STE 1000",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185053814",
"telephone_number": "570-941-0630",
"fax_number": "570-343-3923"
}
],
"practiceLocations": [
{
"address_1": "102 N Abington Rd",
"address_purpose": "LOCATION",
"city": "Clarks Green",
"state": "PA",
"postal_code": "184112300",
"country_code": "US",
"telephone_number": "570-430-8204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATOUSHEK",
"first_name": "COURTNEY",
"middle_name": "M",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "SW131703",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmatoushek@thewrightcenter.medentdirect.com",
"affiliation": "N",
"endpointDescription": "HISP",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "501 S Washington Ave Ste 1000",
"city": "Scranton",
"state": "PA",
"country_code": "US",
"postal_code": "185053814",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.