Individual provider Active NPI

Robert A Matthews, LPC

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1407676703
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC017730 Issued in PA
Practice address
2375 Woodward St Apt 604
Philadelphia, PA 19115-5123
Phone
(267) 879-6779
NPI assigned
Oct 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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 PC017730 PA Primary

Addresses

Primary practice location

2375 Woodward St Apt 604
Philadelphia, PA 19115-5123

Mailing address

2375 Woodward St Apt 604
Philadelphia, PA 19115-5123
Phone (267) 879-6779

Other practice location 1

2375 Woodward St Apt 604
Philadelphia, PA 19115-5123
Phone (267) 879-6779

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905001553 PA Practitioner - Mental Health Counselor 9739681172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Locascio WellnessGroup PAC ID 3274073135, 5 clinicians

Practice addresses (Care Compare)

101 Harvard Rd
Havertown, PA 19083-3614
Phone (267) 573-9817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC017730PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Locascio Wellness CurrentSince Jul 23, 2025 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1407676703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 WOODWARD ST APT 604",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155123",
            "telephone_number": "267-879-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 WOODWARD ST APT 604",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191155123",
            "telephone_number": "267-879-6779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2375 Woodward St Apt 604",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191155123",
            "country_code": "US",
            "telephone_number": "267-879-6779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-12",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.