MR. MATTHEW THOMAS WALTER (NPI# 1083824809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083824809 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW THOMAS WALTER |
| Credential | LPC |
| Practice Address |
750 E Broad St Hazleton PA 18201-6835 |
| Practice Telephone | 5704556385 |
| Mailing Telephone | 5704556385 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC2364 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689151367 | Matthew James Walter | Registered Nurse | 146 Coutant Rd, Circleville, NY 10919-3266 | 2018-07-25 |
| 1386640175 | Matthew Timothy Walter | Family Medicine | 225 N Bloomington St, Suites B-d, Lowell, AR 72745-9103 | 2005-06-26 |
| 1164591749 | Matthew Walter | Pharmacist | 3901 Rainbow Blvd, Ste G400 Ku Hospital Mail Stop 4040, Kansas City, KS 66160-0001 | 2006-11-07 |
| 1093722217 | Matthew B. Walter | Internal Medicine | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 | 2006-08-01 |
| 1750309472 | Matthew J Walter | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2006-07-18 |
| Street Address |
750 E BROAD ST |
| City | HAZLETON |
| State | PA |
| Zip Code | 18201-6835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445082 | Northeast Counseling Services | Counselor | 750 E Broad St, Hazleton, PA 18201-6835 | 2005-05-27 |
| 1588201818 | Lauren Marie Martonick | Counselor | 750 E Broad St, Hazleton, PA 18201-6835 | 2019-12-05 |
| 1902363179 | Northeast Counseling Service | Community/Behavioral Health | 750 E Broad St, Hazleton, PA 18201-6835 | 2019-02-25 |
| 1780107177 | Ronald John Gavlick | Psychologist | 750 E Broad St, Hazleton, PA 18201-6835 | 2017-07-18 |
| 1518384874 | Northeast Counseling Service | Clinic/Center | 750 E Broad St, Hazleton, PA 18201-6835 | 2014-03-25 |
| 1740447648 | Northeast Counseling Services | Clinic/Center | 750 E Broad St, Hazleton, PA 18201-6835 | 2008-05-19 |
| 1669656492 | Northeast Counseling Services | Clinic/Center | 750 E Broad St, Hazleton, PA 18201-6835 | 2007-12-28 |
| 1487838215 | Northeast Counseling Services | Clinic/Center | 750 E Broad St, Hazleton, PA 18201-6835 | 2007-12-28 |
| 1164624771 | Theresa Ann Boyle | Social Worker | 750 E Broad St, Hazleton, PA 18201-6835 | 2007-06-05 |
| 1558571281 | Victoria Woodward | Counselor | 750 E Broad St, Hazleton, PA 18201-6835 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992335244 | Alfreda A Wujcik | Counselor | 750 E Broad Street, Hazleton, PA 18201 | 2020-01-24 |
| 1811468127 | Omni Health Services, Inc. | Peer Specialist | 1747 B East Broad Street, Hazleton, PA 18201 | 2018-12-13 |
| 1366956781 | Olivia Dworak | Pharmacist | Route 93 Laurel Mall, Hazleton, PA 18201 | 2017-11-21 |
| 1598283194 | Emily Heller | Massage Therapist | 780 N. Church St., Hazleton, PA 18201 | 2017-09-03 |
| 1053715425 | Md Enterprises LLC | In Home Supportive Care | 261 S Church St, Hazleton, PA 18201 | 2014-10-14 |
| 1154605772 | Michael A. Washinsky, Do | Family Medicine | 1730 E Borad Street, Suite1, Hazleton, PA 18201 | 2011-09-30 |
| 1205158185 | Sally Anne Malkin Gilbert | Pharmacist | Laurel Mall Route 93, Hazleton, PA 18201 | 2010-02-19 |
| 1790017176 | Michael John Portonova | Chiropractor | 943 North Church Street, Hazleton, PA 18201 | 2010-02-09 |
| 1598964330 | Anthony John Stachurski Jr. | Occupational Therapy Assistant | 1000 W. 27th St., Hazleton, PA 18201 | 2007-07-12 |
| 1801017819 | Stephen C Celani | Dentist | 21 East Broad St, Hazelton, PA 18201 | 2007-05-01 |
| Find all providers in zip 18201 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992335244 | Alfreda A Wujcik | Counselor | 750 E Broad Street, Hazleton, PA 18201 | 2020-01-24 |
| 1972791820 | Frank James Vita | Counselor | 1747 E Broad St, Suite B, Hazleton, PA 18201-5621 | 2007-10-04 |
| 1306460050 | Matthew Mcaloose | Counselor | 223 W Broad St, Hazleton, PA 18201-6201 | 2020-05-28 |
| 1588201818 | Lauren Marie Martonick | Counselor | 750 E Broad St, Hazleton, PA 18201-6835 | 2019-12-05 |
| 1497018626 | Maryann Gabriel Feno | Counselor | 1747 E Broad St, Hazleton, PA 18201-5621 | 2012-06-22 |
| 1043394521 | Neil Francis Oberto | Counselor | 214 W Walnut St, Hazleton, PA 18201-6280 | 2006-10-24 |
| 1669578506 | Janice Mary Bonner | Counselor | 1749 E Broad St, Hazleton, PA 18201-5650 | 2006-09-16 |
| 1366490765 | Leanne C Hardy | Counselor | 214 W Walnut St, Hazleton, PA 18201 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427806 | Emerald Grove Wellness LLC | Counselor | 214 Brickyard Rd, Mars, PA 16046-3006 | 2020-11-08 |
| 1912508771 | Nicole Boyer | Counselor | 5117 W Lake Rd, Erie, PA 16505-2925 | 2020-11-06 |
| 1811598949 | Amy Lynn Protho | Counselor | 3495 Butler St Ste 3, Pittsburgh, PA 15201-1375 | 2020-11-04 |
| 1447851662 | Shari Mcclaren Counseling | Counselor | 1360 Eisenhower Blvd Ste 404, Johnstown, PA 15904-3341 | 2020-11-04 |
| 1467053835 | Margaret A Connors | Counselor | 811 Williamsburg Blvd, Downingtown, PA 19335-4124 | 2020-11-03 |
| 1033719794 | Paul Sliva | Counselor | 1040 E Windhaven Rd # A, Pittsburgh, PA 15205-8700 | 2020-10-30 |
| 1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
| 1477153344 | Brianne Marie Wagner | Counselor | 720 Rowena Dr Ste 202, Ebensburg, PA 15931-2038 | 2020-10-29 |
| 1083214928 | Tatyana Sharron Hill | Counselor | 3700 Market St Ste 301, Philadelphia, PA 19104-3143 | 2020-10-29 |
| 1689274128 | Chelsea Anne Lyle | Counselor | Yaroch Counseling, 437 S Maple Ave, Greensburg, PA 15601 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.