MATTHEW GERSTACKER (PH.D,) – Professional Counselor, NPI 1912319245

MATTHEW GERSTACKER (PH.D,) is a healthcare provider. based in North ridgeville, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PH.D,. They hold a License No. C-1100163 (OH). The NPI Number for MATTHEW GERSTACKER (PH.D,) is 1912319245

Main info

Male
17 Years Of Experience
Name
MATTHEW GERSTACKER (PH.D,)
NPI
1912319245
Phone
(440) 327-1800
Address
35888 CENTER RIDGE RD
Enumeration Date
21 May 2014
Last Update Date
21 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3306365000
Graduation Year
2009 (17 years ago)
PAC ID
7517491632
Group Practice PAC ID
2466851332
Professional Enrollment ID
I20241112004260
Address ID
OH442563326ME803XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for MATTHEW GERSTACKER (PH.D,)

  • 35888 CENTER RIDGE RD

    STE. 5

    NORTH RIDGEVILLE, OH 440396002

    Phone: (440) 327-1800

    Fax: (440) 327-1533

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241112004260IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44039)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466851332View full group profile
NameSpecialtyState
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Can I cross-check MATTHEW GERSTACKER (PH.D,) using NPI 1912319245?
NPI 1912319245 belongs to MATTHEW GERSTACKER (PH.D,); compare other details if you need extra assurance.
Would MATTHEW GERSTACKER (PH.D,) appear as active to a payer?
You can treat MATTHEW GERSTACKER (PH.D,) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MATTHEW GERSTACKER (PH.D,)?
MATTHEW GERSTACKER (PH.D,)'s specialty line reads Professional Counselor. Clinical services aligned with this taxonomy classification.
Where in Ohio is MATTHEW GERSTACKER (PH.D,) registered?
Use North Ridgeville, Ohio as the headline location for MATTHEW GERSTACKER (PH.D,) here.
Can I trust this NPI listing for MATTHEW GERSTACKER (PH.D,)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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