Abcde Matias

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61334666 Issued in WA

Practice address

1420 Roosevelt Ave Ste 2
Mount Vernon, WA 98273-2687

Phone

(360) 939-1450

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Taylor Froling PLLC

  dba Laulima Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Vernon, WA
  • NPI 1720676984
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1033839980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6837 BRAKER WAY",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649605",
            "telephone_number": "808-756-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 ROOSEVELT AVE STE 2",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732687",
            "telephone_number": "360-939-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "ABCDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61334666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Massage Radiance
• Masterpeace Counseling, PLLC
• Bruce C Mathey, MD
• Susan Ruth Mathey, CDP
• Christopher Ryan Mathis, LMHC
• Ron Matteo
• Matthew E Carlson DDS PLLC
• Holly Maupin
• Anne Maxwell, LMP
• Siri Mayo, ARNP

• Mental Health Counselor in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.