Active NPI
Matthew Patrick Hogan, LPC, NCC
- Professional Counselor
- Wexford, PA
National Provider Identifier
1790455657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 012892
- Practice address
- 117 Vip Dr Ste 310
Wexford, PA 15090-6936 - Phone
- (724) 934-3905
- NPI assigned
- Sep 14, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 012892 | PA | Primary |
Addresses
Primary practice location
117 Vip Dr Ste 310
Wexford, PA 15090-6936
Mailing address
5534 Phillips Ave Apt 6
Pittsburgh, PA 15217-1900
Phone (609) 947-7055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012892 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1790455657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5534 PHILLIPS AVE APT 6",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171900",
"telephone_number": "609-947-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 VIP DR STE 310",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150906936",
"telephone_number": "724-934-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "MATTHEW",
"middle_name": "PATRICK",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "012892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.