Matthew Gerstacker, PH.D,

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C-1100163 Issued in OH

Practice address

35888 Center Ridge Rd
Ste. 5
North Ridgeville, OH 44039-6002

Phone

(440) 327-1800

Fax

(440) 327-1533

NPI assigned

May 21, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Transformation Wellness LLCGroup PAC ID 2062889611, 9 clinicians

Lamplight Counseling Services LLCGroup PAC ID 7113233750, 7 clinicians

Recoup Plus Relief Counseling and Therapeutic Services Comma LLCGroup PAC ID 2466851332, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Lamplight Counseling Services LLC

  • Clinical Social Worker
  • Medina, OH
  • NPI 1992108849
  Medicare reassignment Care Compare group NPD
• Recoup Plus Relief Counseling & Therapeutic Services Comma LLC

  • Mental Health Counselor
  • Medina, OH
  • NPI 1063091684
  Medicare reassignment Care Compare group NPD
• Transformation Wellness LLC

  dba Stella Luna Counseling and Wellness

  • Mental Health Counselor
  • Middleburg Heights, OH
  • NPI 1033854658
  Medicare reassignment Care Compare group NPD
• Kenneth a. de Luca,PH.D. & Associates, Inc.

  • Psychologist
  • North Ridgeville, OH
  • NPI 1821018698
  NPD (past)

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1912319245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35888 CENTER RIDGE RD",
            "address_2": "STE. 5",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440396002",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35888 CENTER RIDGE RD",
            "address_2": "STE. 5",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440396002",
            "telephone_number": "440-327-1800",
            "fax_number": "440-327-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTACKER",
        "first_name": "MATTHEW",
        "credential": "PH.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C-1100163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer E Futchko
• Kyung H Gales
• Erin Colette Gallagher, REGISTERED NURSE
• Stephanie Ann Gaspar, LPN
• Antonia Gates
• Liesl L Glover, PH.D.
• Stephanie A Godin, RN
• Timothy P. Golba, LISW
• Maridali Gonzalez
• Kathy M Green, L.P.N

• Professional Counselor in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.

Verify at the official NPI Registry.