Individual provider Active NPI

Matthew Thomas Hoffmann

  • Professional Counselor
  • Glenside, PA
National Provider Identifier
1619765005
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC018388 Issued in PA
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

Updated by the provider on Apr 28, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 5698775146, 23 clinicians

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

OrganizationSpecialtyStatusNew patients
Ivyland Counseling Center, Inc. CurrentSince Jul 1, 2025 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

Verify at the official NPI Registry.