Individual provider Active NPI

Thomas Mattera, AMFT

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1043974512
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT118412 Issued in CA
Practice address
1074 East Ave Ste A4
Chico, CA 95926-1052
Phone
(530) 588-0448
Fax
(530) 636-4888
NPI assigned
Oct 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT118412 CA Primary

Addresses

Primary practice location

1074 East Ave Ste A4
Chico, CA 95926-1052

Mailing address

1380 East Ave
Ste 124 PMB 173
Chico, CA 95926-7349
Phone (530) 588-0448

Other identifiers 1

IdentifierTypeStateIssuer
AMFT118412OtherCAASSOCIATE MARRIAGE FAMILY THERAPIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.tgplace.org

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

LicenseStateTypeSpecialty
AMFT118412CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Growing Place Center for Helping People Marriage & Family Therapist PastSince Oct 31, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1043974512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 EAST AVE",
            "address_2": "STE 124 PMB 173",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267349",
            "telephone_number": "530-588-0448",
            "fax_number": "530-636-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 EAST AVE STE A4",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261052",
            "telephone_number": "530-588-0448",
            "fax_number": "530-636-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERA",
        "first_name": "THOMAS",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT118412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE MARRIAGE FAMILY THERAPIST LICENSE",
            "identifier": "AMFT118412",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.tgplace.org",
            "affiliation": "N",
            "address_1": "1074 East Ave Ste A4",
            "city": "Chico",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959261052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.