Active NPI
Michelle Eileen Mattingly
- Counselor
- Cincinnati, OH
National Provider Identifier
1124495254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1526 Republic St
Cincinnati, OH 45202-7016 - Phone
- (513) 242-7600
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1526 Republic St
Cincinnati, OH 45202-7016
Mailing address
1526 Republic St
Cincinnati, OH 45202-7016
Phone (513) 313-1608
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph House, Inc. | Past | Accepting new patients | |
| Joseph House, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Cincinnati, OH
- NPI 1043752058
-
- Community/Behavioral Health Agency
- Cincinnati, OH
- NPI 1548514516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1124495254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 REPUBLIC ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452027016",
"telephone_number": "513-313-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 REPUBLIC ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452027016",
"telephone_number": "513-242-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTINGLY",
"first_name": "MICHELLE",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.