MATTHEW JAMES MCCOOL (MS NCC) – Counselor, NPI 1154058014

MATTHEW JAMES MCCOOL (MS NCC) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS NCC. The NPI Number for MATTHEW JAMES MCCOOL (MS NCC) is 1154058014

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW JAMES MCCOOL (MS NCC)
NPI
1154058014
Phone
Not provided
Address
475 SPRING LN
Enumeration Date
2 August 2022
Last Update Date
2 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2672773179
Graduation Year
2022 (4 years ago)
PAC ID
9436681244
Group Practice PAC ID
7416341474
Professional Enrollment ID
I20241017004414
Address ID
PA191036216PH255XXSTXX407
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

2,541 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for MATTHEW JAMES MCCOOL (MS NCC)

  • 475 SPRING LN

    PHILADELPHIA, PA 191283918

    Phone:

    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: 2024-10-17

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
I20241017004414IMental Health CounselorPATBD

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 19128)

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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: 7416341474View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Mental Health CounselorNJ
Clinical PsychologistPA
P S Y C H I A T R YPA
Mental Health CounselorPA
Clinical PsychologistPA
Clinical PsychologistPA
Clinical PsychologistPA
Clinical PsychologistPA
Clinical PsychologistNJ

Reviews

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Frequently asked questions

What unique ID ties claims to MATTHEW JAMES MCCOOL (MS NCC)?
NPI 1154058014 is assigned to MATTHEW JAMES MCCOOL (MS NCC) under the national enumeration system.
Does this profile mean MATTHEW JAMES MCCOOL (MS NCC) is currently active?
Yes — MATTHEW JAMES MCCOOL (MS NCC) appears active in the national provider directory.
What field does MATTHEW JAMES MCCOOL (MS NCC) work in?
You can think of MATTHEW JAMES MCCOOL (MS NCC) as practicing within Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place MATTHEW JAMES MCCOOL (MS NCC)?
The snapshot lists Philadelphia, Pennsylvania for MATTHEW JAMES MCCOOL (MS NCC); download NPPES for the complete set.
Is MATTHEW JAMES MCCOOL (MS NCC) a real provider?
This page reflects official NPPES data for NPI 1154058014. Always confirm identity and privileges with the practice and licensing boards.

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