Kristin A. Phillips-Matson, L.P.C.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

663 Issued in CA

Practice address

100 W El Camino Real
Suite 74B
Mountain View, CA 94040-2664

Phone

(831) 325-9168

NPI assigned

Feb 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1083072722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 RIDGEWOOD DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951182937",
            "telephone_number": "831-325-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W EL CAMINO REAL",
            "address_2": "SUITE 74B",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402664",
            "telephone_number": "831-325-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-MATSON",
        "first_name": "KRISTIN",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "L.P.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "663",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "663",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "130139844",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Phan
• Tu Quynh K. Phan, DDS
• Barbara Ann Phelps-Sandall, MD
• Leah G Philley, LPC-S
• Matthew Isaiah Phillippi
• Jessica Philpot
• Surat Phonsombat, M.D.
• Physician Services at El Camino Hospital
• Sarah Diane Piazza, PA-C
• Anne Judith Pickersgill, M.D.

• Mental Health Counselor in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.