Active NPI
Matthew Culler, LPC
- Professional Counselor
- Chambersburg, PA
National Provider Identifier
1487078366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008846
- Practice address
- 75 S Main St
Chambersburg, PA 17201-2224 - Phone
- (717) 262-4969
- Fax
- (717) 263-1647
- NPI assigned
- Feb 12, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | PC008846 | PA | Primary |
Addresses
Primary practice location
75 S Main St
Chambersburg, PA 17201-2224
Mailing address
200 N 7TH St
Lebanon, PA 17046-5040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103429455 | Medicaid | PA |
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 |
|---|---|---|---|
| PC008846 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collective Renewal Counseling LLC | Professional | Current | Accepting new patients |
| Pennsylvania Counseling Services Inc. | Counselor | Past | Accepting new patients |
Locations
166 S Main St
Ste 212
Chambersburg, PA 17201
Phone (717) 377-9421
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.
-
- Professional Counselor
- Chambersburg, PA
- NPI 1992558472
-
- Counselor
- Lebanon, PA
- NPI 1669474979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1487078366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N 7TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170465040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 S MAIN ST",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172012224",
"telephone_number": "717-262-4969",
"fax_number": "717-263-1647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLER",
"first_name": "MATTHEW",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-12",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103429455",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.