MATTHEW WAGNER


Address: 190 Match Factory Pl, Bellefonte, PA 16823-1367
Phone: 8143533151

MATTHEW WAGNER (NPI# 1174973432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174973432
Entity Type Individual
Full Name MATTHEW WAGNER
Credential MA,CPS
Practice Address 190 Match Factory Pl
Bellefonte
PA 16823-1367
Practice Telephone 8143533151
Mailing Telephone 8143533151
Enumeration Date 2016-06-17
Last Update Date 2016-06-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist PA Other Service Providers

Other Providers MATTHEW WAGNER

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1114198751 Matthew Robert Wagner Orthopaedic Surgery 1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776-8055 2008-03-21
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1235613738 Matthew James Wagner Pharmacist 17213 Cole Rd, Hagerstown, MD 21740-6981 2018-09-20
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1609371244 Matthew Anthony Wagner Student in an Organized Health Care Education/Training Program 509 Biltmore Ave, Asheville, NC 28801-4601 2018-03-26
1669994752 Matthew Wagner Behavior Technician 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 2017-07-11

Office Location

Street Address 190 MATCH FACTORY PL
City BELLEFONTE
State PA
Zip Code 16823-1367

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669766044 Melissa Anne Selders Licensed Practical Nurse 190 Match Factory Pl, Bellefonte, PA 16823-1367 2011-06-03
1386297075 Adam Pritchard Peer Specialist 190 Match Factory Pl, Bellefonte, PA 16823-1367 2019-07-22
1659854636 Michael Aaron Bennett Peer Specialist 190 Match Factory Pl, Bellefonte, PA 16823-1367 2018-09-14
1881102218 Paula Curtis Peer Specialist 190 Match Factory Pl, Bellefonte, PA 16823-1367 2018-01-19
1720596596 Danielle Lucas Clinical Nurse Specialist 190 Match Factory Pl, Bellefonte, PA 16823-1367 2018-01-16
1619495314 Amy Lynn Crowley Social Worker 190 Match Factory Pl, Bellefonte, PA 16823-1367 2017-09-01
1346768041 Kelsey Kaltenbach Social Worker 190 Match Factory Pl, Bellefonte, PA 16823-1367 2017-09-01
1972043701 Chelsea Moroski Social Worker 190 Match Factory Pl, Bellefonte, PA 16823-1367 2017-02-27
1013469600 Ashley Marie Buck Social Worker 190 Match Factory Pl, Bellefonte, PA 16823-1367 2016-10-29
1811378649 Christie Ellis Bush Counselor 190 Match Factory Pl, Bellefonte, PA 16823-1367 2015-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679133383 Lynn Ann Trowbridge Social Worker Match Factory Place, Bellefonte, PA 16823 2019-06-14
1376050724 Sincere Therapy LLC Massage Therapist 221 W. High St. Loft 1000, Bellefonte, PA 16823 2018-01-08
1386190668 Nicole Carrita I Counselor 190 Match Factory Place 3rd, Bellefonte, PA 16823 2016-08-28
1013396894 Amber Titus Massage Therapist 111 S Spring Street, Suite 1, Bellefonte, PA 16823 2015-05-26
1700130259 Julie Heverly Physician Assistant 1 Rockview Rd, Bellefonte, PA 16823 2012-11-06
1235408709 Weis Markets Inc Pharmacy 170 Buckaroo Lane, Bellefonte, PA 16823 2011-12-29
1124313473 Denise Marie Mcdonald Speech-Language Pathologist 550 West College Avenue, Pleasant Gap, PA 16823 2011-06-15
1699072819 Karen Marie Hansel Social Worker 206 West High Street, Bellefonte, PA 16823 2011-02-24
1124342597 Christy L Haagen Registered Nurse 240 Match Factory Place, Bellefonte, PA 16823 2010-03-15
1144405044 Nicholas E. Rehler Physical Therapist 196 Match Factory Place, Bellefonte, PA 16823 2008-01-09
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386297075 Adam Pritchard Peer Specialist 190 Match Factory Pl, Bellefonte, PA 16823-1367 2019-07-22
1659854636 Michael Aaron Bennett Peer Specialist 190 Match Factory Pl, Bellefonte, PA 16823-1367 2018-09-14
1881102218 Paula Curtis Peer Specialist 190 Match Factory Pl, Bellefonte, PA 16823-1367 2018-01-19
1316337751 Olivia Seprish Peer Specialist 190 Match Factory Pl, Bellefonte, PA 16823-1367 2015-01-23
1043618473 Kayti Woodring Peer Specialist 190 Match Factory Pl, Bellefonte, PA 16823-1367 2014-12-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053911313 Become Empowered Peer Specialist 529 Wyoming Ave, Scranton, PA 18509-3009 2020-10-27
1316545379 Antoine Johnson Peer Specialist 846 N 63rd St, Philadelphia, PA 19151-3443 2020-10-13
1336766765 Marvin Mccloe Peer Specialist 1020 W Lackawanna Ave Ste 380, Scranton, PA 18504-2052 2020-07-01
1679198535 Pamela Macon Peer Specialist 221 Ridge Ave, New Kensington, PA 15068-5432 2020-06-16
1750902490 Jamie Paige Eisner Peer Specialist 3934 Foster St, Apartment 332, Pittsburgh, PA 15201 2020-05-05
1134755861 Teri Julia Joscak Peer Specialist 515 Arlington Ave, North Versailles, PA 15137-1914 2020-03-13
1003449307 Melissa Miles Peer Specialist 101 Abbey Dr, Linfield, PA 19468-3310 2020-02-15
1326685256 The Warm House of Greater Pittsburgh Peer Specialist 249 N Craig St, Pittsburgh, PA 15213-1577 2019-12-10
1477190981 Barry Gilliam Peer Specialist 220 Sycamore Ridge Dr, Springdale, PA 15144-1054 2019-12-03
1336783943 Jessica Elease Elam Peer Specialist 5450 Wissahickon Ave Apt B1139, Philadelphia, PA 19144-5285 2019-11-06
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Competitor

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City BELLEFONTE
Zip Code 16823

Improve Information

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Dataset Information

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.

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