Active NPI
Mollie Matteson, LCMHC
- Mental Health Counselor
- Richmond, VT
National Provider Identifier
1013674936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068.0134417
- Practice address
- 37 Hapgood Lane
Richmond, VT 05477-0551 - Phone
- (802) 448-0618
- NPI assigned
- Nov 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 068.0134417 | VT | Primary |
Addresses
Primary practice location
37 Hapgood Lane
Richmond, VT 05477-0551
Mailing address
PO Box 551
Richmond, VT 05477-0551
Phone (802) 448-0618
Other names 1
- Malia Matteson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068.0134417 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637971200000",
"number": "1013674936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551",
"city": "RICHMOND",
"state": "VT",
"postal_code": "054770551",
"telephone_number": "802-448-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 HAPGOOD LANE",
"city": "RICHMOND",
"state": "VT",
"postal_code": "054770551",
"telephone_number": "802-448-0618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTESON",
"first_name": "MOLLIE",
"name_prefix": "Ms.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-27",
"last_updated": "2021-11-27",
"certification_date": "2021-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "068.0134417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALIA",
"last_name": "MATTESON",
"credential": "LCMHC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Richmond, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.