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JENNY MATLACK MA, LPC, NCC
NPI 1376940015
Counselor - Professional in Malvern, PA

Active since November 24, 2014PECOS Enrolled
1200 ATWATER DR STE 130, MALVERN, PA 19355(610) 646-1851(484) 355-5181 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jenny Matlack Ma, Lpc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY MATLACK MA, LPC, NCC (NPI 1376940015) is an individual professional provider in Malvern, Pennsylvania, licensed in Pennsylvania (PC014952) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376940015
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNY MATLACKCredential: MA, LPC, NCC
Location Address1200 ATWATER DR STE 130Malvern, PA 19355-8782
Mailing Address1200 Atwater Dr Ste 130Malvern, PA 19355-8782 · (610) 646-1851 · Fax (484) 355-5181
Phone(610) 646-1851
Fax(484) 355-5181
Sole ProprietorNo
Enumeration DateNovember 24, 2014
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1376940015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC014952
1200 ATWATER DR STE 130, Malvern, PA 19355
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Matlack Ma, Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSE D MONTGOMERY MSW, LCSW
Social Worker (Clinical)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
EMILY JOY STONE MS, LPC
Counselor (Professional)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
DANA GREENLEE MS, LPC
Counselor (Professional)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
ANNA PIERCE FREDERICK MSSW, LCSW
Social Worker (Clinical)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
JACQUELINE GAZZARA MSW,LCSW
Social Worker (Clinical)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
MR. GARY DAVID ENGLISH MS, LPC
Counselor (Professional)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 632-7745
SAMANTHA ROSE CARTAGENA
Counselor (Mental Health)
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851
ELLIE MAIN LINE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1200 ATWATER DR STE 130
MALVERN, PA 19355
Chester County (610) 646-1851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Matlack's NPI number?

The NPI number for Jenny Matlack is 1376940015. It was assigned to this individual provider in the NPPES registry on November 24, 2014.

Where is Jenny Matlack located?

Jenny Matlack practices at 1200 Atwater Dr Ste 130, Malvern, PA 19355. The listed phone number is (610) 646-1851.

What is Jenny Matlack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jenny Matlack enrolled in Medicare?

Yes. Jenny Matlack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenny Matlack was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.