Active NPI
Matthew Nagel, MA, LPC
- Professional Counselor
- Meadville, PA
National Provider Identifier
1952711921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007542
- Practice address
- 16265 Conneaut Lake Rd
Suites 1391 and 1389
Meadville, PA 16335-3861 - Phone
- (814) 336-1011
- NPI assigned
- Apr 30, 2014
- 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 | PC007542 | PA | Primary |
Addresses
Primary practice location
16265 Conneaut Lake Rd
Suites 1391 and 1389
Meadville, PA 16335-3861
Mailing address
16265 Conneaut Lake Rd
Suite 1391
Meadville, PA 16335-3861
Phone (814) 807-1330
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC007542 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1952711921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16265 CONNEAUT LAKE RD",
"address_2": "SUITE 1391",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353861",
"telephone_number": "814-807-1330",
"fax_number": "814-807-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16265 CONNEAUT LAKE RD",
"address_2": "SUITES 1391 AND 1389",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163353861",
"telephone_number": "814-336-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEL",
"first_name": "MATTHEW",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-30",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.