JASON MATTHEW KIRK MA LPC NPI 1720518327

NPI Information

  • NPI: 1720518327
  • Provider Name: JASON MATTHEW KIRK, MA, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1120 W TOWNSHIP LINE RD STE 101
    HAVERTOWN, PA
    ZIP 19083
  • Phone: (610) 708-0721

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NPI Details

Jason Matthew Kirk, MA, LPC is a professional counselor in Havertown, PA. Jason Matthew Kirk, MA, LPC NPI is 1720518327. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1120 W TOWNSHIP LINE RD STE 101
HAVERTOWN, PA
ZIP 19083-930
Phone: (610) 708-0721
Fax: (267) 285-1994

The NPI 1720518327 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/15/2017 and was last updated on 9/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalPC009646PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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