Active NPI
Matthew Thomas Hoffmann
- Professional Counselor
- Glenside, PA
National Provider Identifier
1619765005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC018388
- Practice address
- 818 Tennis Ave
Glenside, PA 19038-1805 - Phone
- (215) 260-1419
- Fax
- (215) 260-1419
- NPI assigned
- Apr 28, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC018388 | PA | Primary |
Addresses
Primary practice location
818 Tennis Ave
Glenside, PA 19038-1805
Mailing address
818 Tennis Ave
Glenside, PA 19038-1805
Phone (215) 260-1419
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250721001553 | PA | Practitioner - Mental Health Counselor | 1951817675 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ivyland Counseling Center, Inc.
Practice addresses (Care Compare)
1210 Old York Rd
Suite 202
Warminster, PA 18974-2032
Phone (215) 444-9204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyland Counseling Center, Inc. | Current | Accepting new patients |
Locations
4 Village Sq
Ste 12
New Hope, PA 18938
Phone (215) 444-9204
1210 Old York Rd
Ste 202
Warminster, PA 18974
Phone (215) 444-9204
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": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1619765005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 TENNIS AVE",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190381805",
"telephone_number": "215-260-1419",
"fax_number": "215-260-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 TENNIS AVE",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190381805",
"telephone_number": "215-260-1419",
"fax_number": "215-260-1419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMANN",
"first_name": "MATTHEW",
"middle_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC018388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenside, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.