Healthcare Provider Details

I. General information

NPI: 1881336733
Provider Name (Legal Business Name): MATTHEWS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 04/11/2022
Certification Date: 04/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 LITTLE CONESTOGA RD
CHESTER SPRINGS PA
19425-9562
US

IV. Provider business mailing address

802 TALLY HO LN
CHESTER SPRINGS PA
19425-2306
US

V. Phone/Fax

Practice location:
  • Phone: 610-482-4496
  • Fax: 610-214-2434
Mailing address:
  • Phone: 610-764-0462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSE MATTHEWS
Title or Position: LICENSED PSYCHOLOGIST/OWNER
Credential: PSYD
Phone: 610-482-4496