Active NPI
Brittany Layne Matos, LPCC
- Professional Counselor
- Mankato, MN
National Provider Identifier
1144780867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC01936
- Practice address
- 201 N Broad St
Mankato, MN 56001-3585 - Phone
- (507) 225-1500
- NPI assigned
- Mar 20, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC01936 | MN | Primary |
Addresses
Primary practice location
201 N Broad St
Mankato, MN 56001-3585
Mailing address
201 N Broad St
Mankato, MN 56001-3585
Phone (612) 225-1500
Other names 1
- Brittany Layne Matos-Town
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bgomez-matos@nystromcounseling.com | Direct | Nystrom & Associates |
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 |
|---|---|---|---|
| CC01936 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1144780867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N BROAD ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013585",
"telephone_number": "612-225-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N BROAD ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013585",
"telephone_number": "507-225-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS",
"first_name": "BRITTANY",
"middle_name": "LAYNE",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2021-04-14",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC01936",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bgomez-matos@nystromcounseling.com",
"affiliation": "Y",
"endpointDescription": "Work email address",
"affiliationName": "Nystrom & Associates",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "201 N Broad St",
"city": "Mankato",
"state": "MN",
"country_code": "US",
"postal_code": "560013585",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "MATOS-TOWN",
"middle_name": "LAYNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.