1. Home
  2. Directory
  3. Pennsylvania
  4. Havertown
  5. Counselor
  6. NPI Profile

JASON MATTHEW KIRK MA, LPC
NPI 1720518327
Counselor - Professional in Havertown, PA

Active since June 15, 2017PECOS EnrolledAccepts Medicare Assignment
1120 W TOWNSHIP LINE RD STE 101, HAVERTOWN, PA 19083(610) 708-0721(267) 285-1994 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2024, Jun 15, 2017 (2 updates tracked since 2017).

About Jason Matthew Kirk Ma, Lpc NPPES

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

JASON MATTHEW KIRK MA, LPC (NPI 1720518327) is an individual professional provider in Havertown, Pennsylvania, licensed in Pennsylvania (PC009646) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720518327
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJASON MATTHEW KIRKCredential: MA, LPC
Location Address1120 W TOWNSHIP LINE RD STE 101Havertown, PA 19083-4930
Mailing Address1120 W Township Line Rd Ste 101Havertown, PA 19083-4930 · (610) 708-0721 · Fax (267) 285-1994
Phone(610) 708-0721
Fax(267) 285-1994
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 15, 2017
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1720518327 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 · PC009646
1120 W TOWNSHIP LINE RD STE 101, Havertown, PA 19083
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Matthew Kirk Ma, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133652530
PECOS Enrollment IDI20241023003886
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.

Medicare Billing Reassignment

Medicare enrollment records show Jason Kirk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dtap Mental Health Services LLC
Same address
Mental Health
1120 W TOWNSHIP LINE RD STE 101
Havertown, PA 19083
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
NPI 1518737824 (267) 784-5118

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LEAH COLLINS
Counselor (Mental Health)
1120 W TOWNSHIP LINE RD STE 101
HAVERTOWN, PA 19083
Delaware County (267) 571-0383
ALISSA LYNN DEL GROSSO LCSW, MSW
Social Worker (Clinical)
1120 W TOWNSHIP LINE RD STE 101
HAVERTOWN, PA 19083
Delaware County (610) 708-0721
ANTHONY BRUNO LAROSA
Counselor (Mental Health)
1120 W TOWNSHIP LINE RD STE 101
HAVERTOWN, PA 19083
Delaware County (267) 571-0383
TIFFANY HOLMES
Dance Therapist
1120 W TOWNSHIP LINE RD STE 101
HAVERTOWN, PA 19083
Delaware County (610) 708-0721
ALEXANDER TYLER QUIGLEY
Social Worker
1120 W TOWNSHIP LINE RD STE 101
HAVERTOWN, PA 19083
Delaware County (845) 399-8426
JASON STANSBURY MSW, LSW
Social Worker (Clinical)
1120 W TOWNSHIP LINE RD STE 101
HAVERTOWN, PA 19083
Delaware County (161) 070-8072
RYAN ORYAN
Social Worker
1120 W TOWNSHIP LINE RD STE 101
HAVERTOWN, PA 19083
Delaware County (610) 708-0721
DTAP MENTAL HEALTH SERVICES LLC
Counselor (Mental Health)
1120 W TOWNSHIP LINE RD STE 101
HAVERTOWN, PA 19083
Delaware County (267) 784-5118

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 Jason Kirk's NPI number?

The NPI number for Jason Kirk is 1720518327. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Jason Kirk located?

Jason Kirk practices at 1120 W Township Line Rd Ste 101, Havertown, PA 19083. The listed phone number is (610) 708-0721.

What is Jason Kirk's specialty?

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

Is Jason Kirk enrolled in Medicare?

Yes. Jason Kirk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jason Kirk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Kirk reassigns Medicare benefits to Dtap Mental Health Services LLC (Havertown, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Kirk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Kirk accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jason Kirk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Kirk was last updated on September 12, 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.